Organization
MEDICAL LAKE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MUELLER MUELLER (SP. ED. DIRECTOR)
(509) 565-3125
Entity
Organization
Contact information
Practice address
116 W. 3RD STREET, MEDICAL LAKE, WA 99022-0128
(509) 565-3100
Mailing address
PO BOX 128, MEDICAL LAKE, WA 99022-0128
(509) 565-3100
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
220726D
WA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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