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[DOC File]APPLICATION FOR APPROVAL - Indiana
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AND MENTAL HEALTH COUNSELOR BOARD. APPLICATION FOR APPROVAL TO PROVIDE. CATEGORY ONE CONTINUING EDUCATION. FOR LSW/LCSW/LMFT/LMHC. Return the completed application and supporting documentation to: Indiana Professional Licensing Agency. Attn: SW/MFT/MHC Board. 402 West Washington Street, Room W072. Indianapolis, Indiana 46204
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[DOC File]State
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Wisconsin Department of Regulation and Licensing 1400 E. Washington Avenue P.O. Box 8935 Madison, WI 53708 . Phone: (608) 266-0145 FAX: (608) 261-7083 . Contact Person: Kimberly Nania , Director, Bureau of Health Service Professions
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[DOC File] - Indiana Medicaid - Indiana Medicaid
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Copy of license from the Health Professions Bureau (HPB) Copy of the Nurse Practitioner (NP) certification from accredited NP certifying organization. Federal W-9 tax form. CLIA certificate, if applicable Same as in–state requirements, except: Copy of license from the appropriate state. Copy of NP certification from accredited NP certifying org
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[DOCX File]CURRICULUM VITAE - Indiana University School of Medicine
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Medical Licensing Board, Indiana Health Professions Bureau. Controlled Substance Registration, Indiana Health Professions Bureau. ... Indiana University Health Precision Genomics Program 2014 – Present. This clinical program was designed to help identify target. ed. t. herapies for.
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[DOC File]Medical Licenses
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Guam Board of Medical Examiners Chalsea Torres, Acting Administrator Health Professionals Licensing Office 651 Legacy Square Commercial Complex South Route 10, Suite 9 Margilao, GU 96913 (011) 671-735-7406-8 / Fax:(011) 671-735-7413
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[DOC File]American College Health Association
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May 28, 2012 - June 1, 2012. Developing Nursing Protocols Geared Toward College Health Practice. Monday, May 28, 2012: 1:30 - 4:30PM. Kathy MacLachlan, MS, ANP-BC ...
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[DOCX File]Indiana Professional Licensing Agency | The ...
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A current copy of the document may be purchased by contacting the Committee on Accreditation for Respiratory Care, 1248 Harwood Road, Bedford, Texas 76021-4244 or the Health Professions Bureau, Indiana Government Center-South, 402 West Washington Street, Room W041, Indianapolis, Indiana 46204. (Medical Licensing Board of Indiana; 844 IAC 11-1-2 ...
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[DOC File]INDIANA BOARD OF VETERINARY MEDICAL EXAMINERS
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The Jurisprudence Examination is given every other week at the Indiana Government Center South in Indianapolis, Indiana. The jurisprudence examination will cover the veterinary statute and rules, and the Health Professions Standards of Practice. A score of 75 or above on the examination is passing. BASIS FOR REGISTRATION. EXAMINATION –
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[DOC File]SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY BOARD - …
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Before completing and submitting your application to the Indiana Professional Licensing Agency, please read all materials and information included with this packet. If you have any questions, please contact the Indiana Professional Licensing Agency at (317) 234-2064 or by email at pla5@pla.in.gov.
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[DOC File]State Requirements for Criminal Background Checks 11/03
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Indiana ** A person operating a home health or personal service agency must perform a limited criminal history check on direct care staff. If a potential employee is found to be living outside the state of Indiana two years prior, a national history check must be performed. This language is …
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Indiana health professions licensing