MRS. Antonina Jean Chastain, MSW

NPI #1619050291 in Imperial, Missouri

Provider Information

NPI Number: 1619050291
Entity Type: Individual
Name: MRS. Antonina Jean Chastain, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: Oct 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5460 MYSTIC OAKS DR
City: Imperial
State: Missouri
ZIP Code: 63052-3433
Phone: (573) 637-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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