Individual
CARLY JOANNA BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 420-3819
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 341-6564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105375
SOCIAL WORK LICENSE
TX
Enumeration date
07/28/2021
Last updated
09/30/2024
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