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Rates refer to licensure in Maryland ENCLOSED IS 350 Licensed 120 Licensed in 2017 195 licensed in 2016 250 licensed in 2015 300 licensed in 2014 235 Doctoral degree non-licensed 235 Non-resident Affiliate Charge to my MasterCard/Visa/Discover account Expiration Date Signature Mail entire form with check/charge information to 10025 Governor Warfield Pkwy Suite 102 Columbia Maryland 21044 410. 992. 4258 301. 596. 3999 Fax 410. 992. 7732 E-mail members marylandpsychology. org Website www....
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The purpose is to formally apply for membership and provide the necessary information for the group or organization to consider the application.
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