Individual
MISS COURTNEY ANNE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(351) 215-1141
Mailing address
365 EAST ST # C2, TEWKSBURY, MA 01876-1950
(351) 215-1141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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