Individual
TIA LISETT CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(202) 770-8322
Mailing address
5222 DIX ST NE, WASHINGTON, DC 20019-6646
(202) 770-8322
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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