Glen Edward Hairston
NPI #1134753387 in Martinsville, Virginia
Provider Information
- NPI Number
- 1134753387
- Entity Type
- Individual
- Name
- Glen Edward Hairston
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 26, 2020
- Last Updated
- Feb 28, 2020
Practice Location
- Address
- 133 E MARKET ST STE 102
- City
- Martinsville
- State
- Virginia
- ZIP Code
- 24112-3740
- Phone
- (276) 806-9177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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