| Doctor Name: | MALLINDA LUMSDEN |
| NPI Number: | 1225375439 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | 6801094905 |
| Business Practice Address: | 2864 Ashmun St Sault Sainte Marie, MI - 497833740 |
| Business Phone Number: | 9066325200 |
| Business Fax Number: | 9066325276 |
| Mailing Address: | 2864 Ashmun St, SAULT SAINTE MARIE |
| State: | MI |
| Postal Code: | 497833740 |
| Phone Number: | 9066325200 |
| Fax Number: | 9066325276 |
| NPI Enumeration Date: | 01/08/2013 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801094905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |