Provider Information for 1891324547
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ALYSON STILES M.Ed., NCC, LPC-A
Sex: Female
NPI: 1891324547
Last Updated: 2020-04-05
Certification Date: 2020-04-05
Certification Date: 2020-04-05
Details
Name | Value | ||||||||||||||||
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NPI | 1891324547 | ||||||||||||||||
Enumeration Date | 2020-04-05 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 469 FAIRHILL RD HEATH SPRINGS, SC 29058-9466 United States Phone: | Fax: | ||||||||||||||||
Primary Practice Address | 1447 EBENEZER RD ROCK HILL, SC 29732-2338 United States Phone: 803-587-8036 | Fax: | ||||||||||||||||
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