Organization
UNITED CUSD 304
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CRAWFORD (DIRECTOR)
(309) 343-2143
Entity
Organization
Contact information
Practice address
101 N HOLLOWAY ST, ALEXIS, IL 61412-8901
(309) 343-2143
Mailing address
101 N HOLLOWAY ST, ALEXIS, IL 61412-8901
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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