Individual
VALECIA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12007 LINWOOD ST, DETROIT, MI 48206-1107
(313) 867-1090
Mailing address
18455 MANSFIELD ST, DETROIT, MI 48235-2931
(313) 492-8538
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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