Individual
MS. ARLENE ELIZABETH LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
560 CATALINA DR, ASHLAND, OR 97520-1605
(541) 201-4801
(541) 201-4815
Mailing address
280 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4801
(541) 201-4815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1369
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136114
—
OR
Enumeration date
01/31/2008
Last updated
01/31/2008
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