Individual
DEBRA LEE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 E 18TH ST, CHEYENNE, WY 82001-4618
(928) 202-9054
Mailing address
PO BOX 3635, COTTONWOOD, AZ 86326-2561
(928) 202-9054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1690
WY
Other
Enumeration date
07/07/2005
Last updated
10/16/2025
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