Individual
STEPHANIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HELEN PL, STRATFORD, CT 06614-3914
(203) 556-6198
Mailing address
425 GRANT ST, BRIDGEPORT, CT 06610-3222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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