Logan Thomas Park
Logan Thomas Park is a Clinical Social Worker in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2026
Practice location Address checks out
1006 Fairmount BlvdJefferson City, MO 65101-3547
Phone: (573) 823-7532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 2023036481 (MO) |
|---|
Record details
| NPI number | 1811893399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2026 |
| Last updated in NPPES | October 20, 2026 |
| Certification date | October 20, 2026 |
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