Individual
RENATE MARIA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2307 FORREST PARK DR, LA GRANGE, KY 40031-9487
(270) 312-8045
Mailing address
2307 FORREST PARK DR, LA GRANGE, KY 40031-9487
(270) 312-8045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3854
KY
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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