Individual
MS. DONNA TISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, LGSW
Contact information
Practice address
4201 CONNECTICUT AVE NW, SUITE 300, WASHINGTON, DC 20008-1158
(202) 624-0010
(202) 624-0062
Mailing address
4201 CONNECTICUT AVE NW, SUITE 300, WASHINGTON, DC 20008-1158
(202) 624-0010
(202) 624-0062
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50079468
DC
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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