Individual
AMANDA RAE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
107 GLOBAL CIR STE 207, LAFAYETTE, LA 70503-5319
(337) 359-2445
Mailing address
712 W BONAIRE DR, LAFAYETTE, LA 70506-6625
(337) 412-7130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18065
LA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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