Individual
MS. JACQUELINE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21554 HIDDEN RIVERS DR S, SOUTHFIELD, MI 48075-1006
(248) 225-0191
Mailing address
21554 HIDDEN RIVERS DR S, SOUTHFIELD, MI 48075-1006
(248) 225-0191
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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