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1083784938
KIMBERLY HAIRSTON
LOS ANGELES, CA
NPI
1083784938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 21513)
Enumeration Date
2006-11-08
Last Update Date
2021-11-30
Business Address
-- KIMBERLY HAIRSTON LCSW
5110 W GOLDLEAF CIR
LOS ANGELES, CA 90056-1282
Phone number: 323-290-8610
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Mailing Address
-- KIMBERLY HAIRSTON LCSW
PO BOX 2221
CULVER CITY, CA 90231-2221
Phone number: 310-330-3913
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