Organization
WISE COUNTY SPECIAL EDUCATION COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ALTHIEA GASTON (PEIMS MEDICAID ESPED COORDINATOR)
(940) 683-8361
Entity
Organization
Contact information
Practice address
2105 16TH ST, BRIDGEPORT, TX 76426-2129
(940) 683-8361
(940) 683-1912
Mailing address
2105 16TH ST, BRIDGEPORT, TX 76426-2129
(940) 683-8361
(940) 683-1912
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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