Organization
COOPERATIVE EDUCATIONAL SERVICE AGENCY #12
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS POTTERTON (DIRECTOR OF SPECIAL EDUCATION)
(715) 682-2363
Entity
Organization
Contact information
Practice address
618 BEASER AVE, ASHLAND, WI 54806-2751
(715) 682-2363
(715) 682-7244
Mailing address
618 BEASER AVE, ASHLAND, WI 54806-2751
(715) 682-2363
(715) 682-7244
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44200400
—
WI
Enumeration date
10/24/2007
Last updated
10/24/2007
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