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Organization
WISE COUNTY SPECIAL EDUCATION COOPERATIVE
Active
Organization
WISE COUNTY SPECIAL EDUCATION COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ALTHIEA GASTON (PEIMS MEDICAID ESPED COORDINATOR)
(940) 683-8361
Entity
Organization
Contact information
Practice address
2105 16TH ST, BRIDGEPORT, TX 76426-2129
(940) 683-8361
(940) 683-1912
Mailing address
2105 16TH ST, BRIDGEPORT, TX 76426-2129
(940) 683-8361
(940) 683-1912
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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