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1205668209
LOGAN THOMAS BRADLEY
SOUTHFIELD, MI
NPI
1205668209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-17
Last Update Date
2024-08-17
Business Address
LOGAN THOMAS BRADLEY
22170 W 9 MILE RD
SOUTHFIELD, MI 48033-6007
Phone number: 248-372-6800
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Mailing Address
LOGAN THOMAS BRADLEY
22170 W 9 MILE RD
SOUTHFIELD, MI 48033-6007
Phone number:
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