Organization
KIM LOGAN COMMUNICATIONS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM JANISSE LOGAN PH.D,SPL (CEO)
(313) 898-8200
Entity
Organization
Contact information
Practice address
8313 GRAND RIVER AVE, DETROIT, MI 48204-2231
(313) 898-8200
(313) 898-2232
Mailing address
8313 GRAND RIVER AVE, DETROIT, MI 48204-2231
(313) 898-8200
(313) 898-2232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L1118869
MI
Other
Enumeration date
10/16/2007
Last updated
09/29/2010
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