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Individual

CLAUDIA M LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
305 OXFORD CT, BELLEVILLE, MI 48111-4927
(734) 922-5142
Mailing address
305 OXFORD CT, BELLEVILLE, MI 48111-4927
(734) 922-5142

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary
230361320797
MI

Other

Enumeration date
04/12/2017
Last updated
08/16/2017
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