Individual
JULIE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
21770 FDR BLVD, LEXINGTON PARK, MD 20653-1558
(301) 863-6661
(301) 866-9189
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
(301) 863-4744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13460
MD
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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