Glen Edward Hairston
Glen Edward Hairston is a Clinical Social Worker in Martinsville, Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
133 E Market St Ste 102Martinsville, VA 24112-3740
Phone: (276) 806-9177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1134753387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2020 |
| Last updated in NPPES | February 28, 2020 |
| Certification date | February 28, 2020 |
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