Individual
MRS. MELINDA DAWN EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7332 MEXICO RD, ST. PETERS, MO 63376
(314) 440-1283
(314) 442-4147
Mailing address
14 SOENKER CIRCLE, ST. PETERS, MO 63376
(314) 440-1283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2000161673
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495263121
—
MO
01
—
9415365
PRIVATE HEALTHCARE SYSTEM
MO
Enumeration date
01/09/2007
Last updated
12/15/2021
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