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Couple Intake Form Wendy E. Smith, MA, MHC 18 W. Mercer St., Seattle, WA 98119 (206) 9658749 www.wendysmithcounseling.com Today's date: Name: Date of birth: Age: Address: Phone:. May I leave a message?
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Seattle, WA 98119 is a zip code in the Seattle area.
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Individuals or businesses located in the Seattle, WA 98119 zip code may be required to file.
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