# MIDDLE GROVE C-1 SCHOOL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427110758
- **Authorized official:** BETSY WYANT M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (660) 327-1402

## Contact information

- **Practice address:** 11476 ROUTE M, MADISON, MO 65263-2221
- **Practice address phone:** (660) 291-8583
- **Practice address fax:** (660) 291-8584
- **Mailing address:** 11476 ROUTE M, MADISON, MO 65263-2221
- **Mailing address phone:** (660) 291-8583
- **Mailing address fax:** (660) 291-8584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020