Address: | 292 Hickory Dr, Kennett Square, PA 19348, USA |
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Postal code: | 19348 |
Phone: | (484) 798-7511 |
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Renee G. Felder, LCSW 1224 Baltimore Pike, Suite 201. Chadds Ford, PA Phone: (484) 844-5150. I, _, confirm that I have been given a written Notice of the Privacy Practices by Renee G. Felder about the 1996 Law of the Health Insurance Portability and Accountability Act...
I give permission to Renee G. Felder, LCSW to exchange the following written and/or verbal information regarding myself (or my child) _ Date Signed. Renee G. Felder, LCSW 1224 Balitmore Pike Suite 201 Chadds Ford, PA. Phone: (484)844-5150 Mail: P.O. Box 831.