Individual
STEPHANIE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR'S
Contact information
Practice address
101 ADANTA CIR, ALBANY, KY 42602-9549
(606) 387-8083
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
05/23/2023
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