Individual
ALICIA JOHANNA LOGAN-SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1626 MORGAN ST STE 4, KEOKUK, IA 52632-3424
(319) 249-5777
Mailing address
2940 MIDDLE RD, KEOKUK, IA 52632-2407
(319) 795-5822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092708
IA
Other
Enumeration date
10/24/2018
Last updated
09/18/2023
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