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Dennis England Licensed Clinical Social Worker 4870 S. Lewis, Suite 125 Tulsa, OK 74105 cell 918.740.3454 fax 918.746.0573 DennisLCSW ATT.client INFORMATION Name: Date of Birth Address: City: State:
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Dennis England Licensed Clinical refers to a professional license held by Dennis England to practice clinical work.
Dennis England himself is required to file his licensed clinical information.
To fill out Dennis England Licensed Clinical, Dennis needs to provide required information about his clinical practice.
The purpose of Dennis England Licensed Clinical is to ensure that Dennis is authorized to practice clinical work.
Information such as license number, date of expiration, and any specialties or restrictions must be reported on Dennis England Licensed Clinical.
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