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Organization

HOPE 4 YOU, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE TISDALE LICSW, LCSW-C (OWNER)
(202) 257-6632
Entity
Organization

Contact information

Practice address
5211 AUTH RD, SUITLAND, MD 20746-4339
(202) 257-6632
Mailing address
2116 CATHERINE FRAN DR, ACCOKEEK, MD 20607-3216
(202) 257-6632

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0394467
MD
Enumeration date
12/10/2015
Last updated
08/09/2023
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