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Page 1: › uploads › scan0003.pdfJ. Patrick Mooney, Ph.D. Salem Psychological Services, LLC License OR 1088 2493 State St. Salem, Oregon 97302. 503-581-2351 mooney.patrick@comcast.net Dr

Page 2: › uploads › scan0003.pdfJ. Patrick Mooney, Ph.D. Salem Psychological Services, LLC License OR 1088 2493 State St. Salem, Oregon 97302. 503-581-2351 mooney.patrick@comcast.net Dr

Page 3: › uploads › scan0003.pdfJ. Patrick Mooney, Ph.D. Salem Psychological Services, LLC License OR 1088 2493 State St. Salem, Oregon 97302. 503-581-2351 mooney.patrick@comcast.net Dr

Page 4: › uploads › scan0003.pdfJ. Patrick Mooney, Ph.D. Salem Psychological Services, LLC License OR 1088 2493 State St. Salem, Oregon 97302. 503-581-2351 mooney.patrick@comcast.net Dr

Page 5: › uploads › scan0003.pdfJ. Patrick Mooney, Ph.D. Salem Psychological Services, LLC License OR 1088 2493 State St. Salem, Oregon 97302. 503-581-2351 mooney.patrick@comcast.net Dr

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