Individual
DARLA K LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
43 GRUENE PARK DR, NEW BRAUNFELS, TX 78130-2459
(830) 625-0599
(830) 625-5877
Mailing address
790 GENERATIONS DR, STE 410, NEW BRAUNFELS, TX 78130-6720
(830) 625-0599
(830) 625-5877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174472401
—
TX
01
—
8AJ890
BCBS
TX
Enumeration date
10/17/2005
Last updated
09/24/2020
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