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COUNTRY PLACE COUNSELING, LLC Janet L. Douglas, LCSW, CCH 4255 Bryant Irvin Rd., Suite 101 Fort Worth, Texas 76109 Telephone: 8172284855 Fax: 8177359404 CLIENT INFORMATION Patient Name: S.S.#: Race:
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What is country place counseling pllc?
Country Place Counseling PLLC is a professional limited liability corporation that provides counseling services.
Who is required to file country place counseling pllc?
The owner or designated representative of Country Place Counseling PLLC is required to file the necessary paperwork.
How to fill out country place counseling pllc?
To fill out Country Place Counseling PLLC, you will need to gather information about the business, its owners, and the services provided.
What is the purpose of country place counseling pllc?
The purpose of Country Place Counseling PLLC is to provide counseling services to individuals in need of mental health support.
What information must be reported on country place counseling pllc?
Information such as business address, owner's information, services provided, and any changes in ownership or management must be reported.
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