Individual
MS. VIRGINIA WELLS LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
64 MAIN ST, MIDDLEBURY, VT 05753-1426
(802) 989-3743
Mailing address
206 GOOSENECK BEND RD, WEYBRIDGE, VT 05753-9635
(802) 989-3743
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000348
VT
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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