Individual
MRS. CHARLOTTE AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
248 COLLIN RD, JONESBORO, LA 71251
(318) 243-1536
Mailing address
248 COLLIN RD, JONESBORO, LA 71251-7302
(318) 243-1536
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2018
Last updated
08/16/2018
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