Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 1459 | SC |
NPI | 1336355452 |
---|---|
Provider Name | Dr. Albert Joseph Baroody JR. |
First Address | Florence, SC 29506-2534 |
Second Address | Florence, SC 29506-2534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |