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WASHINGTON, DC
NPI1497174684
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
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1416 9TH ST NW N.W.
WASHINGTON, DC 20001-3344
Phone number: 202-483-9111
Mailing Address
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1416 9TH ST NW N.W.
WASHINGTON, DC 20001-3344
Phone number: 202-483-9111