Mallum, Amy

Mallum, Amy is an individual health care provider with primary practice located at 413 Se 13Th St , Grand Rapids MN 55744-0015. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mallum, Amy can be contacted via phone (218) 999-9908.

Contact Information

Primary practice address
413 Se 13Th St Grand Rapids MN 55744-0015
Phone: (218) 999-9908
Fax: (218) 999-9959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21852 Minnesota

Profile Details

NPI number 1447631452
LBN Legal business name Mallum, Amy
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Jun 16th, 2015 - about 11 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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