Shoshone Tribe Early Intervention Program
NPI #1558425207 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1558425207
- Entity Type
- Organization
- Organization Name
- Shoshone Tribe Early Intervention Program
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 90 ETHETE ROAD
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-0610
- Phone
- (307) 332-3516
Authorized Official
- Name
- MR. JOSEPH J SMITH JR.
- Title
- FINANCE MANAGER
- Phone
- (307) 332-3516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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