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Individual

LOGAN GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2758 E MILLENNIUM DR, FAYETTEVILLE, AR 72703-4798
(479) 430-2323
Mailing address
55 DOGWOOD LN, WEST FORK, AR 72774-3025
(479) 236-8976

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2510014
AR

Other

Enumeration date
10/17/2025
Last updated
10/17/2025
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