MR. William C Chidichimo, LCSW

NPI #1023198108 in Goodfellow Afb, Texas

Provider Information

NPI Number
1023198108
Entity Type
Individual
Name
MR. William C Chidichimo, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 16, 2006
Last Updated
Oct 15, 2007

Practice Location

Address
17TH MEDICAL OPERATIONS SQUADRON
Address 2
271 FT RICHARDSON AVE
State
Texas
ZIP Code
76908-4902
Phone
(325) 654-3122

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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