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Individual

KIRBY HASTINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC-A

Contact information

Practice address
403 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3784
(336) 716-0855
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A20712
NC

Other

Enumeration date
10/28/2024
Last updated
11/20/2024
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