Individual
KAI Z. THIGPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(215) 563-0652
Mailing address
126 ARGYLE RD APT B6, ARDMORE, PA 19003-2830
(215) 696-0614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW135490
PA
1041C0700X
Clinical Social Worker
Primary
CW021753
PA
Other
Enumeration date
08/13/2019
Last updated
04/12/2021
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