Organization
SCHOOL DISTRICT OF INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE LAEHN (DISTRICT ADMINISTRATOR)
(715) 985-3172
Entity
Organization
Contact information
Practice address
23786 INDEE BLVD, INDEPENDENCE, WI 54747-9095
(715) 985-3172
(715) 985-2303
Mailing address
23786 INDEE BLVD, INDEPENDENCE, WI 54747-9095
(715) 985-3172
(715) 985-2303
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44214800
—
WI
Enumeration date
04/03/2008
Last updated
04/03/2008
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