Individual
EDY KUPIETZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PHD, MPH
Contact information
Practice address
460 WINNETKA AVE, WINNETKA, IL 60093-4206
(773) 425-1905
Mailing address
9110 KARLOV AVE, SKOKIE, IL 60076-1718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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