Individual
MELISSA MEIERDIERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 222-6534
Mailing address
5025 N CENTRAL AVE # 338, PHOENIX, AZ 85012-1520
(602) 277-5551
(602) 222-6534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW11586
AZ
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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