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ICE OR SERVICES IN DISPUTE 80 hours of a chronic pain management program A DESCRIPTION OF THE QUALIFICATIONS FOR EACH PHYSICIAN OR OTHER HEALTH CARE PROVIDER WHO REVIEWED THE DECISION Licensed by the Texas State Board of Examiners of Psychologists REVIEW OUTCOME Upon independent review the reviewer finds that the previous adverse determination/adverse determinations should be: X Upheld (Agree) Overturned (Disagree) Partially Overturned (Agree in part/Disagree in part) Provide a description.

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