Individual
MRS. FELICIA JEANNETTE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5028 RYAN DR, OKLAHOMA CITY, OK 73135-4204
(405) 388-8892
Mailing address
5028 RYAN DR, OKLAHOMA CITY, OK 73135-4204
(405) 388-8892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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