Organization
POPLAR BLUFF SCHOOL DISTRICT R-1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNIE LAWSON (SUPERINTENDENT)
(573) 785-7751
Entity
Organization
Contact information
Practice address
1110 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3336
(573) 785-6707
(573) 785-0336
Mailing address
1110 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3336
(573) 785-6707
(573) 785-0336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
506112606
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506112606
—
MO
Enumeration date
11/28/2006
Last updated
06/25/2008
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