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Individual

MARIE F LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
221 5TH ST SW, SIDNEY, MT 59270-4901
(406) 433-4635
(406) 433-8201
Mailing address
221 5TH ST SW, SIDNEY, MT 59270-4901
(406) 433-4635
(406) 433-8201

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
572
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000255527
MT
Enumeration date
12/21/2006
Last updated
05/20/2020
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