BLAKE DOUGLAS OSBORNE

SKOKIE, IL
NPI1538225768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-007272)
Enumeration Date2006-12-30
Last Update Date2007-07-08
Business Address
-- BLAKE DOUGLAS OSBORNE L.C.S.W.
5225 OLD ORCHARD RD SUITE 29
SKOKIE, IL 60077-4405
Phone number: 847-966-8806
Mailing Address
-- BLAKE DOUGLAS OSBORNE L.C.S.W.
5225 OLD ORCHARD RD SUITE 29
SKOKIE, IL 60077-4405
Phone number: 847-966-8806