Individual
MIKKI EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13250 BADGER LN, ANCHORAGE, AK 99516-3067
(907) 290-2186
(907) 519-6785
Mailing address
PO BOX 110481, ANCHORAGE, AK 99511-0481
(907) 830-3759
(907) 519-6785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1069
AK
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM5359
—
AK
Enumeration date
03/07/2007
Last updated
09/01/2024
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