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Get Or Clinical Social Work Associate Plan Of Supervision 2013-2024

Ave (2) years of post license experience in this or any other state, and have completed (6) hours of continuing education courses specific to Supervision. These hours are good for (5) years from the completion date. A copy of the completion certificate documenting the CE s, must be on file in the Board office before beginning supervision with a CSWA. CSWA APPLICANT NAME: Last Name, First Name Middle Initial TELEPHONE: INDIVIDUAL LCSW SUPERVISOR NAME: TELEPHONE: Last Name, First Name.

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