Individual
FRANCES M TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
Mailing address
210 YOSEMITE DR, BEAR, DE 19701-3807
(267) 879-5877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
DE
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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