Individual
JAMES DARRELL DEMOSS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
102 AVON CT, SLIDELL, LA 70461-4908
(985) 774-3781
Mailing address
102 AVON CT, SLIDELL, LA 70461-4908
(985) 774-3781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11415
LA
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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