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Individual

STEPHANIE DIANA HOUSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
125 N WILSON ST, BURLESON, TX 76028-4167
(817) 382-1314
Mailing address
PO BOX 40382, FORT WORTH, TX 76140-0382
(817) 382-1314

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-86581
TX
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-86581
VA

Other

Enumeration date
09/13/2021
Last updated
09/18/2021
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