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Organization

MID-STATE SPECIAL EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY WASSON (DIRECTOR)
(217) 824-8121
Entity
Organization

Contact information

Practice address
116 S MAIN ST, TAYLORVILLE, IL 62568-2230
(217) 824-8121
(217) 824-8205
Mailing address
116 S MAIN ST, TAYLORVILLE, IL 62568-2230
(217) 824-8121
(217) 824-8205

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
04/03/2007
Last updated
08/22/2020
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