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1700180502
CARLOS J AMOS
THIBODAUX, LA
NPI
1700180502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 5712)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2011-01-07
Last Update Date
2011-10-18
Business Address
-- CARLOS J AMOS LCSW
690 E 1ST ST
THIBODAUX, LA 70301-3546
Phone number: 504-364-6613
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Mailing Address
-- CARLOS J AMOS LCSW
4460 GENERAL MEYER AVE
NEW ORLEANS, LA 70131-3529
Phone number: 504-364-6613
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