Individual
MRS. ANGELA G HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9160 BELVOIR WOODS PKWY, FT BELVOIR, VA 22060-2703
(703) 781-2457
(703) 799-0189
Mailing address
2501 BASIN VIEW LN, WOODBRIDGE, VA 22191-6376
(703) 781-2457
(703) 799-0189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004784
VA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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