Individual
MS. ONDREA LYNN HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4499
Mailing address
2813 HAYWARD AVE APT C, BROWNSBURG, IN 46112-0169
(206) 679-5136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007106A
IN
Other
Enumeration date
02/14/2011
Last updated
04/20/2021
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