Delaware Valley Association of Black Psychologists

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MAILING ADDRESS INFO
Membership Type *	Professional ($40.00 for one year) Associate ($40.00 for one year) Affiliate ($40.00 for one year) Life ($800.00 for lifetime subscription) Elder ($15.00 for one year) Student ($15.00 for one year) Mailing-List Only (Free lifetime subscription)
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Mental Health Provider * Indicate if you currently provide mental health services.	Yes No
Licensed Provider * Are you licensed to provide mental health services?	Licensed in PA Licensed in another state Working under supervision Not licensed
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