KEVIN TISDALE

WASHINGTON, DC
NPI1063117976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-03-31
Last Update Date2023-06-14
Business Address
KEVIN TISDALE
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032-4933
Phone number: 202-318-0179
Mailing Address
KEVIN TISDALE
1310 GALLATIN ST NW
WASHINGTON, DC 20011-6918
Phone number: 202-621-4239
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