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1346762036
ANDREA MICHELLE LOGAN
DETROIT, MI
NPI
1346762036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401017658)
Enumeration Date
2017-07-13
Last Update Date
2019-10-11
Business Address
ANDREA MICHELLE LOGAN LLPC, QMHP
882 OAKMAN BLVD
DETROIT, MI 48238-3710
Phone number: 313-961-7990
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Mailing Address
ANDREA MICHELLE LOGAN LLPC, QMHP
882 OAKMAN BLVD
DETROIT, MI 48238-3710
Phone number: 313-961-7990
Copy
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