Latosia Rena-Denise Logan

NPI #1013652197 in Macomb, Michigan

Provider Information

NPI Number
1013652197
Entity Type
Individual
Name
Latosia Rena-Denise Logan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
May 3, 2022
Last Updated
May 3, 2022

Practice Location

Address
45964 BRENTWOOD ST
City
Macomb
ZIP Code
48042-5410
Phone
(586) 948-0665

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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