Individual
CAITLIN MARIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 545-8427
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 545-8427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2021
Last updated
11/29/2021
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