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Individual

DR. TINA WADE-HAIRSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2525 TILLER LN STE 100, COLUMBUS, OH 43231-2267
(614) 557-1145
(614) 557-1145
Mailing address
8072 NEW ALBANY CONDIT RD, WESTERVILLE, OH 43081-9535
(614) 557-1145

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/27/2017
Last updated
04/30/2018
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