Individual
AFRICA R LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4425 WESTWARD DR, WICHITA FALLS, TX 76308-2438
(940) 447-5017
Mailing address
4425 WESTWARD DR, WICHITA FALLS, TX 76308-2438
(940) 447-5017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
74844
TX
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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