Individual
ANESSA R GILBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
601 S EDWIN C MOSES BLVD, NW BUILDING 4TH FLOOR, DAYTON, OH 45408-1424
(937) 276-8333
(937) 276-8269
Mailing address
601 S EDWIN C MOSES BLVD, NW BUILDING 4TH FLOOR, DAYTON, OH 45408-1424
(937) 276-8333
(937) 276-8269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0700257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0700257
STATE LICENSE
OH
Enumeration date
09/03/2008
Last updated
09/03/2008
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