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Individual

PAUL ROY MUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, BSW

Contact information

Practice address
2307 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 525-4855
Mailing address
2307 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 525-4855

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
01/31/2013
Last updated
01/31/2013
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