Individual
DON E HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 W GORDON ST, VALDOSTA, GA 31601-4426
(407) 461-5312
Mailing address
PO BOX 501, MINNEOLA, FL 34755-0501
(407) 461-5312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SSW002561
GA
1041C0700X
Clinical Social Worker
SW6496
FL
Other
Enumeration date
05/16/2007
Last updated
09/26/2007
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