LOGAN ILES, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1417584509
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 110794 (TX) |
Frequently Asked Questions
NPI 1417584509 is the National Provider Identifier for LOGAN ILES, LCSW, a Social Worker - Clinical provider located in Van Alstyne, TX. This NPI was enumerated on March 26, 2020.
LOGAN ILES, LCSW practices at 364 DERBY DR, Van Alstyne, TX 75495.
Quick Facts
- NPI
- 1417584509
- Type
- Individual
- Enumerated
- Mar 26, 2020
- Last Updated
- Nov 20, 2024
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