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Justin’M. Smith, ×M.S. Licensed Marriage×and×Family×TherapistLicensed×Clinical×Alcohol×and×Drug×Counselor3450×E Russell×Rd Suite×214, Las×Vegas, ×NV 89120Phone: (702) 5308894×Fax: (702) 7573982Disclosure×and×Consent×to TreatmentWelcome! This×paperwork×has×been×prepared×for×you×to inform×you×of my

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