Organization
COUNTY OF MISSOULA SCHOOL DIST 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY WOODRUFF (DIRECTOR OF SPECIAL EDUCATION)
(406) 728-5626
Entity
Organization
Contact information
Practice address
2385 FLYNN LN, MISSOULA, MT 59808-5608
(406) 728-5626
Mailing address
2385 FLYNN LN, MISSOULA, MT 59808-5608
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161837
—
MT
Enumeration date
03/07/2007
Last updated
06/24/2008
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