Individual
TRACI DENISE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7118
(304) 256-7142
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7118
(304) 256-7142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00944025
WV
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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