Individual
MR. JEROME NICHOLAS HIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
207 HAVEN DR, DOTHAN, AL 36301-2919
(334) 793-1964
(334) 794-4131
Mailing address
817 COUNTY ROAD 6, BLACK, AL 36314-5311
(334) 684-6373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0753C
AL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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