Individual
BLAKE DOUGLAS OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5225 OLD ORCHARD RD, SUITE 29, SKOKIE, IL 60077-4405
(847) 966-8806
(847) 475-1245
Mailing address
5225 OLD ORCHARD RD, SUITE 29, SKOKIE, IL 60077-4405
(847) 966-8806
(847) 475-1245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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