Individual
LOGAN SHEA DIKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-4388
Mailing address
11 KINGSLEY AVE, RUTLAND, VT 05701-3210
(802) 779-8269
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VT
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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