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Center for Healing, Inc. 212 E. Market St. Suite 201 Leesburg, VA 20176CLIENT INTAKE FORM Please provide the following information for our records. Leave blank any question you would rather not answer,

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The centerforhealingvacomsample-pagesample page - center is a form used to report specific information related to the center's healing practices.

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Information such as number of clients served, types of services offered, revenue generated, and any complaints or incidents must be reported on the centerforhealingvacomsample-pagesample page - center.

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