Individual
MS. DENISE WALTON LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LCSW
Contact information
Practice address
1190 W ROOSEVELT BLVD, MONROE, NC 28110-2818
(704) 296-6200
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6003027
NC
1041C0700X
Clinical Social Worker
Primary
C002586
NC
Other
Enumeration date
01/27/2012
Last updated
09/30/2024
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