Individual
MS. MARILYN LOUISE LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC LPCCS
Contact information
Practice address
136 ONE HALF S MAIN ST, BOWLING GREEN, OH 43402
(419) 352-3036
Mailing address
PO BOX 434, BOWLING GREEN, OH 43402
(419) 352-3036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
E0000431
OH
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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