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George Liven good, MS, MFT, MFC #52124 2898 Rowena Ave., Suite 206, Los Angeles, CA 90039 Phone: 9176743459 email: info GLivengoodTherapy.com New Client Information Form Name: DOB Age Name of Patient

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Start by entering your personal information such as your full name, address, phone number, and email address in the designated sections of the form.

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What is george livengood ms mft?

George Livengood MS MFT is a professional in the field of marriage and family therapy.

Who is required to file george livengood ms mft?

Licensed marriage and family therapists (MFTs) are required to file George Livengood MS MFT.

How to fill out george livengood ms mft?

To fill out George Livengood MS MFT, one must provide information about their professional practice and licensing details.

What is the purpose of george livengood ms mft?

The purpose of George Livengood MS MFT form is to report information about licensed marriage and family therapists.

What information must be reported on george livengood ms mft?

Information such as name, license number, practice address, and professional credentials must be reported on George Livengood MS MFT.

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