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Organization

GIBSON COUNTY SPECIAL SCHOOL DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDDIE PRUETT (DIRECTOR)
(423) 622-1551
Entity
Organization

Contact information

Practice address
130 TRENTON HWY, DYER, TN 38330-4239
(731) 692-3803
Mailing address
PO BOX 8114, CHATTANOOGA, TN 37414-0114

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
01/04/2018
Last updated
11/23/2019
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