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Individual

BRENDA DINKINS HAIRSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3945 RIVERS AVE, NORTH CHARLESTON, SC 29405-7042
(843) 718-3019
(843) 805-4639
Mailing address
2128 BANYAN ST, NORTH CHARLESTON, SC 29405-7065
(843) 718-3019
(803) 805-4639

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6724
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP8182
SC
Enumeration date
09/17/2018
Last updated
09/17/2018
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