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Individual

DERWIN LYDELL HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12117 MANSFIELD TER, MIDLOTHIAN, VA 23114-1288
(804) 519-1247
Mailing address
12117 MANSFIELD TER, MIDLOTHIAN, VA 23114-1288
(804) 519-1247

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011935
VA

Other

Enumeration date
07/22/2020
Last updated
07/22/2020
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