Individual
MR. LOGAN BLAKE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWCD
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(270) 634-1587
Mailing address
385 S GALT AVE APT 2, LOUISVILLE, KY 40206-2569
(270) 634-1587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00001053
KY
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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