Individual
DR. JUDITH FELTON LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18604 TRANQUILITY BASE LN, PORT ST LUCIE, FL 34987-3236
(609) 915-9155
(609) 921-8408
Mailing address
18604 TRANQUILITY BASE LN, PORT ST LUCIE, FL 34987-3236
(609) 915-9155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC00082600
NJ
1041C0700X
Clinical Social Worker
PR011938-01
NY
1041C0700X
Clinical Social Worker
SW10545
FL
Other
Enumeration date
02/22/2007
Last updated
07/21/2026
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