Individual
KATHLEEN BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 GRANDVIEW DR, JOHNSBURG, IL 60051-6107
(815) 405-1351
Mailing address
1708 GRANDVIEW DR, JOHNSBURG, IL 60051-6107
(815) 405-1351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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