Individual
BLAKE TENNENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
853 PRESTON LN, OSWEGO, IL 60543-2002
(630) 388-9735
Mailing address
853 PRESTON LN, OSWEGO, IL 60543-2002
(630) 388-9735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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