Organization
BLUE RIVER VALLEY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE JO VICKERY (DIRECTOR OF SPECIAL PROGRAMS)
(765) 836-4816
Entity
Organization
Contact information
Practice address
303 SOUTH WALNUT, MOUNT SUMMIT, IN 47361-0217
(765) 836-4816
Mailing address
PO BOX 217, MOUNT SUMMIT, IN 47361-0217
(765) 836-4816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IN
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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