Organization
IDEAL INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA SLICE JONES MSP, CCC-SLP, BCABA (SPEECH-LANGUAGE PATHOLOGIST, OWNER)
(803) 360-2978
Entity
Organization
Contact information
Practice address
124 BAILEY SLICE RD, CHAPIN, SC 29036-8900
(803) 360-2978
(803) 932-7897
Mailing address
124 BAILEY SLICE RD, CHAPIN, SC 29036-8900
(803) 360-2978
(803) 932-7897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0289
—
SC
Enumeration date
02/25/2007
Last updated
08/22/2020
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