Individual
ROBERT CHIDESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3670 QUINCY AVE, STE 103, OGDEN, UT 84403-1977
(801) 621-5666
(801) 621-1322
Mailing address
3670 QUINCY AVE, STE 103, OGDEN, UT 84403-1977
(801) 621-5666
(801) 621-1322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
276026-3501
UT
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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