Individual
MS. VICTORIA A. AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4741 N BROADWAY ST, SUITE A, KNOXVILLE, TN 37918-1793
(865) 973-0663
Mailing address
PO BOX 5937, KNOXVILLE, TN 37928-0937
(865) 973-0663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001244
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3131049
BLUE CROSS/BLUE SHIELD
TN
05
—
3694833
—
TN
Enumeration date
05/09/2006
Last updated
12/20/2011
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