Individual
JORDAN WAYNE SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
502 S MORRIS AVE, BLOOMINGTON, IL 61701-4884
(815) 916-5451
Mailing address
303 W LINCOLN ST, BLOOMINGTON, IL 61701-6642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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