Individual
MRS. DIANE SELLERS WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
1301 HILL ST, BASTROP, TX 78602-3008
(512) 303-4456
(512) 303-3639
Mailing address
1301 HILL ST, BASTROP, TX 78602-3008
(512) 303-4456
(512) 303-3639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 03352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065DL
BCBS
—
05
—
102931601
—
TX
Enumeration date
12/27/2006
Last updated
07/13/2010
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