Organization
CLARK COUNTY R-I SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ROSSMILLER (DIRECTOR OF SPECIAL SERVICES)
(660) 727-2377
Entity
Organization
Contact information
Practice address
427 W CHESTNUT ST, KAHOKA, MO 63445-1314
(660) 727-3327
(660) 727-2245
Mailing address
427 W CHESTNUT ST, KAHOKA, MO 63445-1314
(660) 727-2377
(660) 727-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506074103
—
MO
Enumeration date
02/07/2007
Last updated
06/13/2016
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