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John Schaeffer

Community/Behavioral Health in Laramie, WY. Individual provider (NPI-1).

NPI number1831698232
StatusActive
Last updated in NPPESMar 22, 2018

Details

NPI
1831698232
Entity type
Individual (NPI-1)
Name
John Schaeffer
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 12, 2018
Last updated
Mar 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
172V00000X Community Health Worker––
174400000X Specialist––

Practice location

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-745-8997

Mailing address

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-745-8997

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