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Individual

EDWARD GILMOUR HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4825 S LABURNUM AVE, RICHMOND, VA 23231-2713
(804) 222-2607
(804) 236-9118
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8517
(804) 727-8580

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003329
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146625-000
MAGELLAN
VA
01
2169318
MAMSI
VA
01
219829
ANTHEM
VA
01
4945131
VIRGINIA PREMIER
VA
01
O89087
OPTIMA
VA
01
P00301359
RAILROAD MEDICARE
VA
Enumeration date
03/12/2007
Last updated
09/26/2008
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