Organization
DEBRA LOGAN LCSW LLC
Active
Organization
DEBRA LOGAN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LOGAN (PROVIDER)
(928) 202-9054
Entity
Organization
Contact information
Practice address
101 S MAIN ST STE D, COTTONWOOD, AZ 86326-6979
(928) 202-9054
Mailing address
1895 W DESERT WILLOW DR, COTTONWOOD, AZ 86326-8304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10464
AZ
Other
Enumeration date
03/02/2017
Last updated
07/06/2023
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