Individual
ANNE CHIDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
529 E 5TH ST, WASHINGTON, MO 63090-2903
(636) 239-5002
(636) 239-5002
Mailing address
1412 RIDGETREE TRAILS DR, BALLWIN, MO 63021-5930
(636) 394-7606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197665
BLUE CROSS BLUE SHIELD
MO
01
—
79982
UNITED BEHAVIORAL HEALTH
MO
Enumeration date
05/30/2006
Last updated
07/08/2007
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