Individual
LOGAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
900 ROYAL HEIGHTS RD STE 2150, BELLEVILLE, IL 62226-5457
(800) 997-9702
Mailing address
1811 JEWEL SISSON DR UNIT 301, SWANSEA, IL 62223-3566
(618) 803-0935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114446
IL
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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