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1972714038
ROBERT CHIDESTER
OGDEN, UT
NPI
1972714038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 276026-3501)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- ROBERT CHIDESTER LCSW
3670 QUINCY AVE STE 103
OGDEN, UT 84403-1977
Phone number: 801-621-5666
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Mailing Address
-- ROBERT CHIDESTER LCSW
3670 QUINCY AVE STE 103
OGDEN, UT 84403-1977
Phone number: 801-621-5666
Copy
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