Lumpkin- Gordon, Mamie Khamalah

Lumpkin- Gordon, Mamie Khamalah is an individual health care provider with primary practice located at 1009 Maitland Center Commons Blvd #212, Maitland FL 32751-7270. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lumpkin- Gordon, Mamie Khamalah can be contacted via phone (407) 636-3532.

Contact Information

Primary practice address
1009 Maitland Center Commons Blvd #212 Maitland FL 32751-7270
Phone: (407) 636-3532
Fax: (321) 256-5292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW22059 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1003177866
LBN Legal business name Lumpkin- Gordon, Mamie Khamalah
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Jan 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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