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Fillable Online Ohr LAW on the High Representative for Form
Their Application for Licensure. Total Non-Clinical Experience Maximum 1 250 hours overall Supervision Hours Per Week o Individual or Triadic o Group group contained no more than 8 persons NOTE Knowingly providing false information or omitting pertinent information may be grounds for denial of the application. The Board may take disciplinary action on a licensee who helps an applicant obtain a license by fraud deceit or misrepresentation. All information on this form is subject to verification....
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