Name: ECLS.2022.2.7, 28 &amp; 3.11.IMH Intro
SKU: 66953
Availability: InStock

Name*

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Email*

Agency/Organization*

Cell Phone (emergencies only)*

Credentials

Do you need continuing education as a Licensed Social Worker or Professional Counselor?*

License Number (required for continuing education)*

What is your category of endorsement, if applicable?

Please indicate your discipline*

Please indicate your practice setting

Do you do home visiting? If so, which program?

How many years have you been doing IMH clinical work?

What are you hoping to gain from this training?

What questions do you want to ask beforehand to ensure the speaker(s) address in the training?

ECLS.2022.2.7, 28 & 3.11.IMH Intro

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