Individual
MR. -RANDOLPH STEPHEN LUMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15433 W SHANGRI LA RD, SURPRISE, AZ 85379-5388
(602) 980-8471
Mailing address
15433 W SHANGRI LA RD, SURPRISE, AZ 85379-5388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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