Individual
DAISHAI LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
100 W DEAN KEETON ST FL 5, AUSTIN, TX 78712-1091
(512) 471-3515
Mailing address
6282 TRUMAN DR, FORT WORTH, TX 76112-8042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104394
TX
104100000X
Social Worker
—
—
Other
Enumeration date
01/20/2020
Last updated
10/28/2021
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