Individual
MS. LAURA ELIZABETH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(414) 406-4862
Mailing address
628 CENTER ST, CHICOPEE, MA 01013-1589
(414) 406-4862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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