Organization
MIDDLE GROVE C-1 SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY WYANT M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(660) 327-1402
Entity
Organization
Contact information
Practice address
11476 ROUTE M, MADISON, MO 65263-2221
(660) 291-8583
(660) 291-8584
Mailing address
11476 ROUTE M, MADISON, MO 65263-2221
(660) 291-8583
(660) 291-8584
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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