Individual
SIERRA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(248) 475-6300
Mailing address
630 LEBARON AVE, PONTIAC, MI 48340-3010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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