Individual
MRS. ANN-MARIE CADDLE-LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
974 SW BIANCA AVE,, PORT SAINT LUCIE, FL 34953-2861
(772) 206-0318
Mailing address
974 SW BIANCA AVE,, PORT SAINT LUCIE, FL 34953-2861
(772) 206-0318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13725
FL
Other
Enumeration date
02/07/2010
Last updated
01/18/2023
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