Shannon Raye Logue
Shannon Raye Logue is a Case Manager/Care Coordinator in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location PO Box
PO Box 710145San Diego, CA 92171-0145
Phone: (619) 346-4020
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1134920218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2025 |
| Last updated in NPPES | June 25, 2026 |
| Certification date | June 25, 2026 |
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