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Organization

GALLIA-VINTON EDUCATIONAL SERVICE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENISE SHOCKLEY PH.D. (SUPERINTENDENT)
(740) 245-0593
Entity
Organization

Contact information

Practice address
60 RIDGE AVENUE, ROOM 131, WOOD HALL, P.O. 178, RIO GRANDE, OH 45674-0178
(740) 245-0593
(740) 245-0596
Mailing address
60 RIDGE AVENUE, ROOM 131, WOOD HALL, P.O. 178, RIO GRANDE, OH 45674-0178
(740) 245-0593
(740) 245-0596

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/23/2009
Last updated
02/23/2009
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