BLAIN AND ASSOCIATES, PC
Social Work in Gurnee, IL

License number
Illinois 180-002267
Category
Social Work
Type
Professional
Owner
Name: MR. GERALD BLAIN MS, LCPC
Title: PRESIDENT
Phone: (847) 791-5928
Address
Address 2
135 N. Greenleaf SUITE 212, Gurnee, IL 60031
PO Box 855, Volo, IL 60030
National Provider ID: 1518104306
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BLAIN AND ASSOCIATES, PC

Volo, IL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Registration:
Mar 26, 1998
Addresses:
Grayslake, IL 60030 (Physical)
522 Jennifer Ln, Volo, IL 60030
State ID:
59870173
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Principal:
Gerald H. Blain Principal, inactive
Agent:
Gerald Harvey Blain,522 Jennifer Ln, Grayslake, IL 60030 (Physical)

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