Individual
MISS STEPHANIE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W GREENDALE, DETROIT, MI 48203-4516
(586) 335-9755
Mailing address
515 W GREENDALE, DETROIT, MI 48203-4516
(586) 335-9755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
04/02/2026
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