Individual
JOSEPH BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW- CP
Contact information
Practice address
1830 SUMTER ST, COLUMBIA, SC 29201-2502
(843) 618-7484
Mailing address
1830 SUMTER ST, COLUMBIA, SC 29201-2502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10943
SC
Other
Enumeration date
05/16/2018
Last updated
11/26/2019
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