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Organization
PINE TREE ISD
Active
Organization
PINE TREE ISD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA GWIN (DIRECTOR)
(903) 295-5173
Entity
Organization
Contact information
Practice address
704 BIRCH ST, LONGVIEW, TX 75604-2311
(903) 295-5173
Mailing address
PO BOX 5878, LONGVIEW, TX 75608-5878
(903) 295-5173
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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