Individual
DIANE LYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3500 FIRST STREET SOUTH, LAMAR, CO 81052
(719) 336-7501
(719) 336-7453
Mailing address
206 B TERRACE DRIVE, LAMAR, CO 81052
(719) 336-3203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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