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Get CA BBS 37A-522 2010

Ho assumes responsibility for providing supervision to those working toward a license as a Clinical Social Worker to complete and sign, under penalty of perjury, the following statement prior to the commencement of supervision. Associate’s Name ASW Number Supervisor’s Name As the supervisor: 1) I am licensed in California. The license I hold is: *Marriage and Family Therapist……………………….………. Licensed Clinical Social Worker.............................................

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