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1801199617
JACOB DONAVON SCHAEFER
WEST DES MOINES, IA
NPI
1801199617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 001292)
Enumeration Date
2010-12-16
Last Update Date
2010-12-16
Business Address
-- JACOB DONAVON SCHAEFER L.M.H.C.
3408 WOODLAND AVE STE 209
WEST DES MOINES, IA 50266-6506
Phone number: 515-225-2015
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Mailing Address
-- JACOB DONAVON SCHAEFER L.M.H.C.
PO BOX 163
GRIMES, IA 50111-0163
Phone number: 515-480-1913
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