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You can call your vet and ask him/her what you can clean it with, put on it, and what you can give to stop the licking/itching. Dogs can develop fungal infections if spots like that are left untreated. If money is an issue, maybe apply for Carecredit - www.carecredit.com

If the vet can't fit you in before then, try a different vet.
 
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