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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN EDWARD HAIRSTON

Active Sole Proprietor

GLEN EDWARD HAIRSTON is a Clinical Social Worker healthcare provider located in MARTINSVILLE, Virginia. NPI 1134753387 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MARTINSVILLE, VA

Registration Details

NPI Number
1134753387
Provider Type
Individual
Gender
Male
NPI Issued
Feb 26, 2020 (6.4431333104694 yrs)
Last Updated
Feb 28, 2020
Sole Proprietor
Yes

Practice Information

Address
133 E MARKET ST STE 102
MARTINSVILLE, VA, 241123740
Browse VA providers · Browse ZIP 24112
Phone
2768069177
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MARTINSVILLE, VA

Name Credential NPI
GLORIA J JOHNSON LCSW 1700845666
SHIRLEY JAMISON LCSW 1184683153
MRS. SANDRA JEAN TOLLIVER LCSW 1376588392
MRS. JULIA LUMSDEN HALL LCSW 1497778708
MR. PRESTON HENRY PAGE LCSW, LSATP 1063544328
JENNIFER BEACH YATES LCSW 1194842112
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.