Individual
CAMERINE W HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S LONG DR, ROCKINGHAM, NC 28379-3991
(910) 747-1049
Mailing address
PO BOX 2784, ROCKINGHAM, NC 28380-2784
(910) 747-1049
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/30/2014
Last updated
03/17/2014
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