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1700122934
CLAYTON BACCHUS
WASHINGTON, DC
NPI
1700122934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: DC PRC14141)
Enumeration Date
2012-12-16
Last Update Date
2012-12-16
Business Address
CLAYTON BACCHUS LPC
1315 TAYLOR ST NW
WASHINGTON, DC 20011-5507
Phone number: 202-882-5697
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Mailing Address
CLAYTON BACCHUS LPC
1315 TAYLOR ST NW
WASHINGTON, DC 20011-5507
Phone number: 202-882-5697
Copy
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