CORNELIA TIETKE, LICSW

Social Worker - Clinical

Active Individual
NPI: 1902196306

Practice Address

5247 WISCONSIN AVE NW
SUITE 2
Washington, DC 20015

Phone: (202) 271-5673

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LC50079008 (DC)

Frequently Asked Questions

NPI 1902196306 is the National Provider Identifier for CORNELIA TIETKE, LICSW, a Social Worker - Clinical provider located in Washington, DC. This NPI was enumerated on April 19, 2011.
CORNELIA TIETKE, LICSW practices at 5247 WISCONSIN AVE NW, SUITE 2, Washington, DC 20015.

Quick Facts

NPI
1902196306
Type
Individual
Enumerated
Apr 19, 2011
Last Updated
Apr 12, 2012

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