Organization
EDUCATIONAL SUPPORT SERVICES
Active
Other names
Medical Lake School District
Organization subpart
No
Provider details
NPI number
Authorized official
MARDEE KING (COMPLIANCE)
(509) 565-3145
Entity
Organization
Contact information
Practice address
317 N BROAD ST, BOX 128, MEDICAL LAKE, WA 99022-8763
(509) 565-3145
(509) 565-3149
Mailing address
317 N BROAD ST, BOX 128, MEDICAL LAKE, WA 99022-8763
(509) 565-3145
(509) 565-3149
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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