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HOAGLAND COUNSELING & CONSULTING 12400 Princeton Ave, Suite A, Savage, MN 55378 Tel: (651) 4917074 Fax: (952) 4007840 Email: Ben hooglandcounseling.com AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH
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Hoogland Counseling & Consulting is a company that provides counseling and consulting services to individuals, couples, and families.
Any individual or entity that receives counseling or consulting services from Hoogland Counseling & Consulting may be required to file.
To fill out Hoogland Counseling & Consulting, you will need to provide information about the services you received and any payments made.
The purpose of Hoogland Counseling & Consulting is to track counseling and consulting services provided to clients.
You must report details of the counseling or consulting services you received, the duration of the services, and any payments made.
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