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Healthoregon.org/hlo Email hlo. info state. or. us Print Form MUSIC THERAPIST LICENSE APPLICATION 1. State Lic./Cert. /Reg. Expiration Complete This Section Only If Submitting Payment By Mail Method Of Payment For Application Fee 150 License Fee 50 Please check one Cash Check Money order Purchase order Credit card see below Type of Credit Card Visa MasterCard Discover Cardholder must either be the applicant or be present at the time application is submitted Do Not Fax or Email Credit Card...

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