Individual
SIERRA JOY LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W. SOUTH AVE, PONCA CITY, OK 74601-6133
(580) 749-5056
(580) 215-5756
Mailing address
407 W. SOUTH AVE., PONCA CITY, OK 74601-6133
(580) 749-5056
(580) 215-5756
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
02/13/2025
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