Jordan Wayne Schaefer, MSW

NPI #1467070037 in Bloomington, Illinois

Provider Information

NPI Number: 1467070037
Entity Type: Individual
Name: Jordan Wayne Schaefer, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MSW
Enumeration Date: Jul 10, 2020
Last Updated: Jul 10, 2020

Practice Location

Address: 502 S MORRIS AVE
City: Bloomington
State: Illinois
ZIP Code: 61701-4884
Phone: (815) 916-5451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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