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Catherine Stone, MSW, LISW-CP |
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210 West Stone Ave,
Greenville, SC 29609 |
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864-238-2003 |
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www.betterthinking-betterlife.com |
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the client acknowledges receipt of the Informed Consent information and
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Date
Client's Signature
Client's
Name
Printed
_______________________________________
Catherine
Stone, MSW, LISW-CP