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Individual

MS. VELMA JEAN STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST

Contact information

Practice address
103 WILDLIFE LN, LUFKIN, TX 75904-1615
(936) 238-3868
(936) 238-3867
Mailing address
103 WILDLIFE LN, LUFKIN, TX 75904-1615
(936) 238-3868

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18536
TX
103T00000X
Psychologist
Primary
38601
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162728303
TX
Enumeration date
09/06/2006
Last updated
02/29/2024
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