Individual
AMANDA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7100 W CENTER RD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9093
Mailing address
7100 W CENTER RD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11825
NE
1041C0700X
Clinical Social Worker
Primary
7359
NE
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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