Individual
MELISSA MARIE EASTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16251 N CAVE CREEK RD, PHOENIX, AZ 85032-2976
(480) 882-4545
(602) 409-0499
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15283
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW16939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344208
—
AZ
Enumeration date
04/22/2016
Last updated
05/06/2024
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