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Get La Application For Registration Renewal Licensed Clinical Social Workers 2012-2024

6 weeks for Processing by Mail or Renew on-line and receive ID card in one week I hereby request that my registration to practice in Louisiana be renewed: ALL QUESTIONS MUST BE ANSWERED OR RENEWAL APPLICATION WILL BE RETURNED. 1. Have you ever had any professional license revoked, suspended, or placed on probation by any state? Yes G No G (If yes, attach notarized detailed explanation) 2. Have you been charged with, convicted of, or did you plead guilty to or nolo contendere to violation of .

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