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1104152388
EARLY INTERVENTION PROGRAM
FORT WASHAKIE, WY
NPI
1104152388
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Entity Type
Organization
Authorized Contact
SUE JEZEK
Director
307-332-3516
Organization Subpart ?
No
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2009-10-23
Last Update Date
2009-10-23
Business Address
EARLY INTERVENTION PROGRAM
90 ETHETE ROAD
FORT WASHAKIE, WY 82514
Phone number: 307-332-3516
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Mailing Address
EARLY INTERVENTION PROGRAM
PO BOX 610
FORT WASHAKIE, WY 82514-0610
Phone number: 307-332-3516
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EARLY INTERVENTION PROGRAM