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EDUCATIONAL EXPERIENCE PSYCHOPATHOLOGY COURSE NO. DATE TAKEN TITLE OF COURSE UNIV/COLLEGE DIAGNOSTICS IN PSYCHOPATHOLOGY DSM IV VI. Check Lic. Activation Fee Pd. Date Received License Number s FEES Attach application fee of 130. 00 personal check money order or cashier s check made payable to the SC Board of Counselors. If approved for licensure you will be notified to remit license activation fee. ALL FEES ARE NON-REFUNDABLE. SC LAPSED LICENSE I. Complete application package should be mailed...
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