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Get Alabama Lpc Renewal Form

Abec.alabama.gov RENEWAL PERIOD 8/1/2013 7/31/2015 This form may not be used after 7/31/13 nd LPC License Name First Middle Last Has your name changed since last application Yes No Name that appears on your current license List home and business addresses. Place X by address to be listed on ABEC website and used by Board to communicate with you. 3. Home Address Street Apt. City State Zip Business Name of Organization Your Title Suite Telephone Bu.

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