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Page 1 of 13Kate Casey, LPC, JD 270 Iron Drive, Suite 112 South lake, Texas 79092CHILD & ADOLESCENT INTAKE ASSESSMENT Clients Name: Date of Birth: Age: (mm / dd / YYY)Gender: M F Ethnicity: Referred
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Southlake Texas 79092 is a zip code within the city of Southlake, located in the state of Texas.
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