Individual
KATHLEEN SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 WILLIAMS BLVD, SPRINGFIELD, IL 62704-2346
(217) 787-5327
Mailing address
1529 WILLIAMS BLVD, SPRINGFIELD, IL 62704-2346
(217) 787-5327
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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