Individual
TELISSE STANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBD, CBC, CPD
Contact information
Practice address
320 E 5TH ST, DALLAS, TX 75203-1315
(214) 984-6882
Mailing address
PO BOX 224023, DALLAS, TX 75222-4023
(214) 984-6882
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197608
SELF
—
Enumeration date
03/06/2020
Last updated
03/06/2020
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