Individual
BETHANY P LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
991 S KENMORE DR, EVANSVILLE, IN 47714-7514
(937) 216-0143
Mailing address
1999 WATERS RIDGE DR, NEWBURGH, IN 47630-8084
(937) 216-0143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009619A
IN
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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