Individual
MS. MELANIE ELAINE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3105 E SKELLY DRIVE, SUITE 102, TULSA, OK 74105-6347
(918) 749-6095
(918) 749-6097
Mailing address
650 S PEORIA, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-0137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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