Individual
CARLOS J AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
690 E 1ST ST, THIBODAUX, LA 70301-3546
(504) 364-6613
(504) 364-6651
Mailing address
4460 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 364-6613
(504) 364-6651
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
5712
LA
Other
Enumeration date
01/07/2011
Last updated
10/18/2011
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