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Individual

CYNTHIA ANN LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC LLP

Contact information

Practice address
643 W FIVE POINT HWY, CHARLOTTE, MI 48813-9104
(517) 960-1969
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9797

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008140
MI
103TC1900X
Counseling Psychologist
6301011234
MI

Other

Enumeration date
09/22/2010
Last updated
01/29/2016
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