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1790467348
LANIER CHARLES LOGAN
DETROIT, MI
NPI
1790467348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6451019005)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
LANIER CHARLES LOGAN
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-694-5151
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Mailing Address
LANIER CHARLES LOGAN
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-694-5151
Copy
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