Individual
ALBERT DUSTIN LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
359 DEER MOSS TRL, DELAND, FL 32724-1343
(813) 786-7976
Mailing address
359 DEER MOSS TRL, DELAND, FL 32724-1343
(813) 786-7976
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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