Individual
KIRA STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3785 LADSON RD APT 722, LADSON, SC 29456-4342
(803) 308-2193
Mailing address
3785 LADSON RD APT 722, LADSON, SC 29456-4342
(803) 308-2193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8119
SC
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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