Individual
MELISSA S LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4335 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3623
(865) 992-3867
(865) 992-7238
Mailing address
514 LOYSTON RD, MAYNARDVILLE, TN 37807-2200
(865) 363-0211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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