Provider First Line Business Practice Location Address:
460 S MAIN ST
Provider Second Line Business Practice Location Address:
SPECIAL EDUCATION SERVICES
Provider Business Practice Location Address City Name:
MARTINSVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46151-2104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-342-4376
Provider Business Practice Location Address Fax Number:
765-349-5262
Provider Enumeration Date:
03/09/2007