Individual
MR. VICTOR RENATO BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LCSW-C
Contact information
Practice address
1776 SYCAMORE ST NW, WASHINGTON, DC 20012-1031
(202) 276-3337
Mailing address
1776 SYCAMORE ST NW, WASHINGTON, DC 20012-1031
(202) 276-3337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10307
MD
1041C0700X
Clinical Social Worker
Primary
LC303351
DC
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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