Individual
DIANE MARIE VANLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 639-1141
(936) 633-5695
Mailing address
2001S MEDFORD DR, LUFKIN, TX 75901-6260
(936) 633-5672
(936) 633-5695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040464201
—
TX
01
—
87037Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/14/2006
Last updated
12/15/2015
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