Individual
EMILY NOEL LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1797 SAN JOSE AVE, CLOVIS, CA 93611-3078
(559) 790-2394
Mailing address
1797 SAN JOSE AVE, CLOVIS, CA 93611-3078
(559) 790-2394
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
10/06/2020
Last updated
02/20/2024
About Stedi
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