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Authorization for Release of InformationSUMMIT PSYCHOLOGICAL ASSOCIATES, INC. 37 N. Broadway Street Akron, Ohio 44308 3305358181Name: Date: DOB: / / SSN#: / / I authorize Summit Psychological Associates,
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Summit Psychological Associates Inc is a mental health clinic that provides therapy services.
Summit Psychological Associates Inc is required to file by the owners or officers of the company.
Summit Psychological Associates Inc can be filled out online or through a paper form provided by the IRS.
The purpose of filing Summit Psychological Associates Inc is to report the financial information of the company to the IRS.
Summit Psychological Associates Inc must report their revenue, expenses, assets, and liabilities.
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