| Megan Logan, Lcsw, Pa | |
|
157 Hampton Point Dr Suite 1 St Augustine FL 32092-3053 | |
| (904) 553-8398 | |
| Not Available |
| Full Name | Megan Logan, Lcsw, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 157 Hampton Point Dr, St Augustine, Florida |
| Authorized Official Name and Position | Megan Logan (PRESIDENT) |
| Authorized Official Contact | 9045538398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Logan, Lcsw, Pa 157 Hampton Point Dr Suite 1 St Augustine FL 32092-3053 Ph: (904) 553-8398 | Megan Logan, Lcsw, Pa 157 Hampton Point Dr Suite 1 St Augustine FL 32092-3053 Ph: (904) 553-8398 |
| NPI Number | 1134526510 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 12/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134526510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8347 (Florida) | Primary |
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