Individual
DARREN HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 SOUTH ST, SOMERVILLE, MA 02143-4297
(617) 284-5130
Mailing address
111 SOUTH ST, SOMERVILLE, MA 02143-4297
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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