Individual
REBECCA ANN LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 COLLEGE DR, TEXARKANA, TX 75503-3536
(903) 791-1110
(903) 791-9352
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8653-C
AR
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64819
STATE LICENSE
TX
01
—
8653-C
STATE LICENSE
AR
Enumeration date
03/16/2018
Last updated
03/20/2024
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