Individual
MR. AL COLDTRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1822 SALLY HILL FARMS BLVD, FLORENCE, SC 29501-6987
(803) 776-4000
Mailing address
PO BOX 691, PAMPLICO, SC 29583-0691
(843) 621-1848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000840
NC
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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