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Psychbd. wv.gov COMPLAINT FORM The Board has jurisdiction over licensed psychologists school psychologists and supervised psychologists. State of West Virginia Board of Examiners of Psychologists P. O. Box 3955 Charleston WV 25339-3955 Phone 304-558-3040 Fax 304-558-0608 Email psychbd wv.gov Web www. This complaint is filed against the following individual s Name of Licensee or Supervisee License Business Name Address City Phone Number State Address Your Contact Information Your Name STATE OF...
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What is box 3955?
Box 3955 is a section on certain tax forms where specific information must be reported.
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