Individual
UNIQUE KEAIRRA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5510 PEARL RD STE 203, PARMA, OH 44129-2550
(216) 355-0185
Mailing address
5510 PEARL RD STE 203, PARMA, OH 44129-2550
(216) 355-0185
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
APS.004485
OH
Other
Enumeration date
03/25/2021
Last updated
11/08/2023
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