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1538225768
BLAKE DOUGLAS OSBORNE
SKOKIE, IL
NPI
1538225768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-007272)
Enumeration Date
2006-12-30
Last Update Date
2007-07-08
Business Address
-- BLAKE DOUGLAS OSBORNE L.C.S.W.
5225 OLD ORCHARD RD SUITE 29
SKOKIE, IL 60077-4405
Phone number: 847-966-8806
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Mailing Address
-- BLAKE DOUGLAS OSBORNE L.C.S.W.
5225 OLD ORCHARD RD SUITE 29
SKOKIE, IL 60077-4405
Phone number: 847-966-8806
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