Mallory Trumble Kosaski, LMSW
Social Worker, Clinical in East Lansing, MI. Individual provider (NPI-1).
NPI number1982158911
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1982158911
- Entity type
- Individual (NPI-1)
- Name
- Mallory Trumble Kosaski
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2016
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801099679 | MI | Yes |
Practice location
411 W Lake Lansing Rd Ste A100East Lansing, MI 48823-8404
Phone 517-798-4894
Mailing address
411 W Lake Lansing Rd Ste A100East Lansing, MI 48823-8404
Phone 517-798-4894
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