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Contact Information

AMANDA R CARROLL, LCSW
1515 DOCTORS DR STE 4
BOSSIER CITY, LA71111
 Phone: 318-703-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for AMANDA R CARROLL · (Female)

NPI # 1215301833
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/19/2015
Last updated 06/02/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 11022
  • LA Medicaid 1215301833
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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