Individual
STACEY AILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BALTIC CT, CHAPIN, SC 29036-7325
(803) 260-8489
(864) 572-4080
Mailing address
120 BALTIC CT, CHAPIN, SC 29036-7325
(803) 260-8489
(877) 247-3488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
04/14/2025
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