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SCHOOL OF SPEECH AND HEARING SCIENCES 118 College Drive #5092 Hattiesburg, MS 394060001 Phone: 601.266.5216 Fax: 601.266.5224 www.usm.edu/shsAPPLICATION FOR ASSESSMENT Child Case History Speech/LanguageDate:
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The University of Southern Mississippi is a public research university located in Hattiesburg, Mississippi.
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