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Organization
BLUE RIVER VALLEY SCHOOLS
Active
Organization
BLUE RIVER VALLEY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE JO VICKERY (DIRECTOR OF SPECIAL PROGRAMS)
(765) 836-4816
Entity
Organization
Contact information
Practice address
303 SOUTH WALNUT, MOUNT SUMMIT, IN 47361-0217
(765) 836-4816
Mailing address
PO BOX 217, MOUNT SUMMIT, IN 47361-0217
(765) 836-4816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IN
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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