Organization
DC PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA TIETKE MSW (SOLE MEMBER)
(202) 271-5673
Entity
Organization
Contact information
Practice address
5247 WISCONSIN AVE NW, SUITE 2, WASHINGTON, DC 20015-2012
(202) 271-5673
Mailing address
5247 WISCONSIN AVE NW, SUITE 2, WASHINGTON, DC 20015-2012
(202) 271-5673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079008
DC
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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