Individual
TYJUAN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1418 MARION BARRY AVE SE, WASHINGTON, DC 20020-5615
(202) 704-6357
Mailing address
1814 29TH ST SE APT 402, WASHINGTON, DC 20020-6452
(202) 704-6357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2420752
DC
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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