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CLIENT INTAKE FORM Michele Miller 55 New Street Suites 14 Ephraim, Pennsylvania 17522 7174547197 Michele michelemillerlmft.com Date of RST appointment: Please take your time in providing the following
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Ephrata, Pennsylvania 17522 is a zip code located in Lancaster County, Pennsylvania.
Individuals or businesses located in Ephrata, Pennsylvania with income or transactions that require reporting.
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The purpose of Ephrata, Pennsylvania 17522 forms is to report income, expenses, and other financial information to the appropriate authorities.
Information such as income, expenses, deductions, credits, and other relevant financial data must be reported on Ephrata, Pennsylvania 17522 forms.
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