Individual
KISKA TITHINUNN PIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 N LARRABEE ST APT 6303, CHICAGO, IL 60614-4423
(310) 733-6626
Mailing address
2954 W IRVING PARK RD APT 3F, CHICAGO, IL 60618-3508
(310) 733-6626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150109605
IL
Other
Enumeration date
05/04/2024
Last updated
01/14/2025
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