Individual
JESSIE SUE LOGHMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
610 N LEBANON ST, LEBANON, IN 46052-1716
(765) 680-0071
(765) 680-0468
Mailing address
610 N LEBANON ST, LEBANON, IN 46052-1716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007920A
IN
Other
Enumeration date
02/27/2018
Last updated
09/14/2020
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