Organization
CLARK SCHOOL DIST 12 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARICE FAYE DRENWALD (BUSINESS MANAGER)
(605) 532-3604
Entity
Organization
Contact information
Practice address
209 MAIN AVE, NESC, HAYTI, SD 57241
(605) 783-3607
(605) 783-3259
Mailing address
220 N CLINTON ST, CLARK, SD 57225
(605) 532-3604
(605) 532-3600
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5150320
—
SD
Enumeration date
09/28/2007
Last updated
09/28/2007
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