Individual
JAMES W. KEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCSW
Contact information
Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-8000
(260) 373-8034
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002918A
IN
Other
Enumeration date
11/07/2007
Last updated
09/09/2021
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