Individual
PAIGE ELIZABETH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1602 W PINHOOK RD STE 201, LAFAYETTE, LA 70508-3735
(337) 534-0770
(337) 534-4370
Mailing address
206 MONTREAL DR, LAFAYETTE, LA 70507-4104
(337) 962-5159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
16167
LA
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/07/2021
Last updated
03/13/2024
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