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Organization

SCOTT COUNTY R-IV SCHOOL DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOROTHY MARIE DEASON (SPECIAL EDUCATION DIRECTOR)
(573) 545-3541
Entity
Organization

Contact information

Practice address
4035 STATE HIGHWAY 77, BENTON, MO 63736-9162
(573) 545-3541
(573) 545-3819
Mailing address
4035 STATE HIGHWAY 77, BENTON, MO 63736-9162
(573) 545-3541
(573) 545-3819

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1999135026
MO
225200000X
Physical Therapy Assistant
Primary
116157
MO
225X00000X
Occupational Therapist
2005034501
MO
235Z00000X
Speech-Language Pathologist
MO

Other

Enumeration date
11/14/2006
Last updated
09/11/2025
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