potential conflicts of interest specific conflicts of...

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Growing and Sustaining a PrivatePractice: Opportunities are Where You Find Them and Where You Make Them

Steven Walfish, Ph.D.Clinician’s Corner Series

American Psychological AssociationApril 17, 2015

Contact Information

Steven Walfish, Ph.D.

2004 Cliff Valley Way, Suite 101

Atlanta, Georgia 30329

(404) 728-0728

[email protected]

Potential Conflicts of Interest

• I earn royalties on books that I have authored

• I am a Principal in The Practice Institute

http://thepracticeinstitute.com/

Specific Conflicts of Interest

• Walfish, S. & Barnett, J. (2009) Financial success in mental health practice: Essential tools and strategies for practitioners. Washington DC: APA Books.

• Walfish, S. (2010) (Editor) Earning a living outside of managed mental health care: 50 ways to expand your practice. Washington DC: APA Books.

• Barnett, J. & Walfish, S. (2011). Billing and collecting for your mental health practice: Effective strategies and ethical practice. Washington DC: APA Books

Specific Conflicts of Interest

• Grossman, L. & Walfish, S. (2013). Translating psychological research into practice. New York: Springer Publishing.

• Barnett, J., Zimmerman, J., & Walfish, S. (2014). Theethics of private practice: A practical guide for mental health clinicians. New York: Oxford University Press.

Specific Conflict of Interest

TPI Press has published:

Verhaagen, D. & Gaskill, F. How We Built Our Dream Practice: Innovative Ideas for Building Yours

www.thepracticeinstitute.com

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Not So Subliminal Message

Don’t let the weekend go by without

buying one of these books!!!

Reverse Brainstorm

You Have a Full and Successful Practice

in April of 2015.

Question: How Can Your Ensure That Your Practice Will Be Extinct in 2016? 2018? 2020? 2024? 2030?

The Times They Are a-Changin’

This is because the times are always a-changin’

What Does Dylan Teach us

Come gather 'round people, Wherever you roam And admit that the waters Around you have grown

And accept it that soon You'll be drenched to the bone. If your time to you Is worth savin'Then you better start swimmin‘ Or you'll sink like a stone

For the times they are a-changin'.

Somebody Has Moved Our Cheese

• Best selling business book – Johnson (1998)

• Interesting parable of resistance to change in organizations that I believe applies to the practice of psychology in independent practice.

Johnson’s Observations About Cheese

• Having cheese makes you happy

• The more important your cheese is to you, the more you want to hold onto it

• Smell the cheese often so you know when it is getting old

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• Movement in a new direction helps you find new cheese

• Imagining yourself enjoying your new cheese leads to it

• The quicker you let go of old cheese, the sooner you find new cheese


• Old beliefs do not lead to new cheese

• When you see that you can find and enjoy new cheese, you can change course.

Johnson’s “Handwriting on the Wall”

• Change happens

• Anticipate the change

• Monitor the change

• Adapt to the change

• Change

• Enjoy the change, and

• Be ready to change quickly and enjoy it

again and again.


• As small business owners it is important for the private practitioner to understand that the nature of our business is always evolving.

• Changes in public policy and market forces call for a mindset of adaptation to achieve long-term success in private practice.


• Failure to Evolve or Adapt Leads to:

Anger

Frustration

Learned Helplessness

Burnout

The Opposite of a Thriving Practice

Evolution

• any process of formation or growth; development:

• a product of such development; something evolved

• to undergo change and development,

• Synonyms: unfolding, change, progression, metamorphosis.

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Adapting

• to make suitable to requirements or conditions; adjust or modify fittingly

• to adjust oneself to different conditions, environment, etc

• Synonyms - fit, accommodate, suit, reconcile, conform; modify, rework, convert.

Overcoming Resistance to Change: Top Ten Reasons for Change Resistance by A. J. Schuler

• People fear they lack the competence to change

• Sometimes change gets right to a person’s sense of personal identity.

• Sometimes change gets right to a person’s sense of professional identity.

The Walfish Doctrine

To achieve a long-term successful practice always look

to adapt and evolve

Creativity – Divergent Thinking

• J.P. Guilford - The ability to draw on ideas across disciplines and fields of inquiry to reach a deeper understanding

• Toni Bernhard – Developing in different directions. Opens your mind to possibilities because it leads you to look for options that aren’t apparent

Apple Commercial (1997)

• “Heres to the crazy ones. The misfits. The rebels. The troublemakers. The round pegs in the square holes. The ones who see things differently.…

• And while some may see them as the crazy ones, we see genius. Because the people who are crazy enough to think they can change the world, are the ones who do."

Tidbits on Divergent Thinking

• Vertical Thinking – dig a deeper hole

• Lateral Thinking – digging other holes

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Divergent Thinking

• Process of generating ideas for a solution to a problem in a non-linear manner.

• “Brainstorming” in a way, with little critical evaluation

• A divergent thinker is looking for options as opposed to choosing among predetermined ones.


• Highly divergent thinkers are less rigid, can meander in their thoughts, and cast a wider net.

• Creative thinking is a better predictor of achievement than IQ


Extended Effort Principle

• Generally the first few ideas are not that creative because they are relatively familiar to us

• Only with more effort does creativity occur so the last few ideas generated tend to be the most creative

Book: Built to Last Companies

• By habit these companies experiment with other things. They invest in R&D. They see what sticks and accept failure (i.e., not everything will stick)

• Conditions are always changing. Companies have to experiment, otherwise they risk extinction

Divergent Thinking

• How does this apply to practice?

• Verhaagen and Gaskill discuss Seth Godin’s concept of a “Purple Cow.”

Private Practice Principle Number 3

It Is The Mental Health Professional With The Spirit of the Entrepreneur Who is Most Successful in Private Practice

Walfish and Barnett (2009)

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The Spirit of an Entrepreneur

The development of the skill-set and attitude of an entrepreneur will serve the private practitioner to see opportunities where others do not, and the “know how” to make these opportunities come to fruition.

Michael GoldsbyThe Entrepreneur’s Toolkit (The Great Courses)

• Entrepreneurs are always looking for a better way to….

• Entrepreneurs are always paying attention to the world around them. They ask, “What is missing?”

• Entrepreneurs look for problems and see them as opportunities

Michael GoldsbyThe Entrepreneur’s Toolkit (The Great Courses)

• Entrepreneur’s “rephrase problems” as a challenge statement. “How might we?”

• Seymour Sarason – defining the problem

• An Entrepreneur is someone who creates value for others

• An entrepreneur is focused on “opportunity thinking” rather than “obstacle thinking.”

Hisrich, Langan-Fox & Grant (2007)

Entrepreneurial Cognition

Opportunity recognition has been attributed to active search, alertness or “notice without search”, pattern recognition or the “ability to connect the dots.”

Baron and Ensley (2006)

• Experienced entrepreneurs look as what is “feasible” and potentially profitable” rather than what is a “unique idea.”

• Hess and Goetz (2009) state that you are looking for a “good business opportunity” and not a “good business idea.”

Dew (2009)

• There is a nontrivial linkage between social network position and contingent events.

• More experienced entrepreneurs tend to have richer social networks and this may expose them to more information and connections that may make them more likely to be exposed to contingency events.

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Effectuation

• Developed by Saras Sarasvathy – UVA Business School

• Effectuation assumes that opportunities are not waiting to be discovered, but rather that opportunities emerge when created by an entrepreneur and his/her partner(s).

Effectuation

• Opportunities are co-created by the entrepreneur and committed stakeholders.

• Effectuators see the world as open, still in the making.

• Effectuators very rarely see opportunities as given or outside of their control. For the most part they work to fabricate, as well as recognize and discover opportunities.

Survey Question

How do I become an effective entrepreneur?

Trick Question

• The more salient question would be, “Given who I am and who I may or may not want to be, what kind of an entrepreneur can I become?”

• Given the circumstances I find myself in, what kinds of entrepreneurial activities can I engage in? What kind of enterprises can I found and bring to fruition?

Sarasvathy Statement in Class

“It is really a shame that I am only five foot two and couldn’t play basketball.”

Excellent Student Reply

“You could always start a basketball league for people who are five foot two and under.”

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Effectuation

That really takes us into consideration the concepts of effectuation.

• Who are you?

• What is it that you want to do?

• What do you bring to the table?

• How can you make that happen into something important and successful?

Effectuation

• Sarasvathy talks about ‘effectuators’ not following recipes. They look in the cupboards and see what’s there and what can be created and what else is needed to create something special.

• As private practitioners we happen to have large cupboards and lots of things on our shelves.

What’s In Our Cupboards?

• Psychotherapy

• Assessment

• Consultation

• Writing

• Teaching

• Research

• Developing Products

Survey Question

What are some markets have been developed or fabricated in recent years for mental health professionals?

Creating Markets

• Coaching of all types as an alternative to psychotherapy

• Medication management spurred by commercials from pharmaceutical companies.

• And Baby Makes Three (John Gottman)

Baron and Sloane (2008)

• The ideas for new products or services do not just appear out of nowhere.

• They emerge when individuals use existing knowledge they have gained from a previous experience to develop something new spurred on by new knowledge or a new experience.

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Tidbits on Entrepreneurship

• Opportunity recognition is central to this process.

• Some people are more likely than others to recognize opportunities because they have access to specialized information and are able to utilize information in a way to create opportunity.

Information May Be Accessed Through

• Work experience

• Through a social network

• By actively searching for information

Work Experience

A mental health professional working in an agency may learn a special skill (e.g. parent training) and if allowable then be able to take this skill and apply it to a revenue generating opportunity outside of the agency.

Through Networking

With other professionals clinicians may learn of opportunities to apply their specialized skills and training. State professional associations, peer consultation groups, local Chambers of Commerce, and a variety of other interest groups provide a rich source of networking opportunities for the enterprising mental health professional.

Actively Searching

• By reading data-based research clinicians may generate ideas that may be turned into a service not previously provided in their local community.

• I think it is important for clinicians, especially private practice clinicians, to be consumers and utilizers of scientific research to help better the business opportunities that will be available to them in their practice.

Caveat: Before We Go Further

• 2.01 Boundaries of Competence (a) Psychologists provide services….with populations and in areas only within the boundaries of their competence, based on their education, training, supervised experience, consultation, study or professional experience.

• (c) Psychologists planning to provide services….involving populations, areas, techniques or technologies new to them undertake relevant education, training, supervised experience, consultation or study.

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Ethics

There are plenty of opportunities for psychologists to earn a living. There is an ethical obligation not to practice outside of one’s area of training and expertise

Some Wisdom from Dave and Frank on Developing a Dream Practice

• www.southeastpsych.com

• 35 person practice in Charlotte, NC

• Do not participate in managed care

• Everyone is full

Dave Verhaagen and Frank GaskillKeys to Building Your Dream Non-Managed Care Practice

• Create a Special Work Environment

• Think of Yourself as a Brand

• Connect Emotionally and Relationally

• Give Killer Presentations

Dave Verhaagen and Frank GaskillKeys to Building Your Dream Non-Managed Care Practice

• Build Niches

• Be Ok with Losing Referrals

• Think Abundance and Not Scarcity

Opportunities are Where You Make Them

Research

Turning Research into Practice Opportunities

Blanchard, E., Hicking, E., Taylor, A., Loos, W. et al. (1994). Psychological morbidity associated with motor vehicle accidents. Behaviour Research and Therapy 32, 283-290.

Effectuating

• Who might your stakeholders or collaborators be in this fabrication?

• What is the potential market to fabricate?

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• Garland, E. et al. (2014). Mindfulness-oriented recovery enhancement for chronic pain and prescription opioid misuse: Results from an early-stage randomized controlled trial. Journal of Consulting and Clinical Psychology, 82, 448-459.

Effectuating




Thompson, N. et al (2015). Expanding the efficacy of Project UPLIFT: Distance delivery of mindfulness-based depression prevention to people with epilepsy.

Effectuating




• Kiernan, M. et al. (2013) Promoting healthy weight with “stability skills first”: A randomized trial. Journal of Consulting and Clinical Psychology, 81, 336-346.

Effectuating




Cheng, S-T. et al. (2015) Improving mental health in health care practitioners: Randomized controlled trial of a gratitude intervention. Journal of Consulting and Clinical Psychology, Vol 83(1), 177-186.

Effectuating




• Zerach, G. (2015) Secondary traumatization among ex-POWs’ adult children: The mediating role of differentiation of the self. Psychological Trauma: Theory, Research, Practice, and Policy, 7(2), 187-194.

Effectuating




Research is a Great Friend to the

Private Practitioner

Reading research, combined with entrepreneurial or effectual thinking, can help you make money, expand your practice, and sustain your practice for the long-term

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Opportunities are Where You Find Them

APA CE

APA CE

Chronic Fatigue Syndrome and Fibromyalgia: Theory, Assessment and Treatment

Leonard Jason Ph.D.

• CE Credits - 8

• Adapt a seven-step cognitive-behavioral improvement approach to the treatment of CFS and FM.

APA CE

Concussion on the Cutting Edge: Evidence-based Comprehensive Approach from Assessment to

Treatment

Anthony Kontos, Ph.D.

• CE Credits - 3

• Apply neurocognitive, vestibular, ocular motor and psychological assessment approaches to

concussion.

APA CE

Evidence-Based Psychosocial Interventions for Cardiac Patients

Robert Allan Ph.D.

• Credits – 3

• Articulate the complex issues involved in psychotherapy for ICD patients.


What Your Colleagues are

Doing Nationally

Earning A Living Outside of Managed Care

• Walfish (2001) 180 strategies in 10 different practice areas.

• Le and Walfish (2007) 158 strategies in 9 different practice areas.

• Walfish (2011) 71 activities of social workers.

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Earning a Living

• Business Psychology • Consultation To Organizations• Fee-for-Service• Forensic Psychology• Group Therapy• Health Psychology• Psychoeducational Services• Services to Government• Teaching and Supervision, and Miscellaneous.

Business Psychology

• Career counseling

• Executive coaching in corporations

• Fitness for duty evaluations

• Stress management training

• Team building workshops

Consultation to Organizations

• Conducting a support group for staff at the Humane Society.

• Consultation to residential home with mentally retarded residents.

• Sensitivity training for fire departments and police departments

• Screening of applicants to become clergy

Fee for Service

• Coaching for adults with ADD/ADHD

• Premarital counseling

• Divorce consultation to couples that are separating/divorcing

• Treatment to doctoral students at reduced fee

• Psychological evaluations to fulfill the requirements for an international adoption

Forensic Psychology

• Evaluations for individuals on probation and parole.

• Psychotherapy with victims of crime.

• Psychotherapy for the court related to parent-child reunification.

• Evaluations for alcohol and drug problems for the courts.

• Evaluations of competency to stand trial.

Group Therapy

• Men’s Groups

• Women’s Groups

• Group therapy for batterers ordered by the court.

• Group therapy for singles

• Group therapy for spouses of individuals who have Multiple Sclerosis.

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Health Psychology

• Hypnosis for smoking cessation

• Behavioral treatment for obesity

• Supportive group work with people having significant illness challenges

• Evaluations of egg, sperm, and embryo donors

• Psychological evaluations in worker’s compensation cases

Psychoeducational Services

• Consultation with high school study team

• Psychological evaluations for special education eligibility.

• Psychological evaluations for testing accommodations (SAT, GRE)

• Advocacy: Educational consulting meeting with parents and children to design and implement educational plans to enhance achievement.

Services to Government

• Evaluations of applicants for Social Security Disability

• Psychological evaluations for adolescents in a county-run long-term facility

• Psychotherapy with individuals through State Vocational Rehabilitation Services

• Pre-employment psychological screening of Peace Officer candidates

Teaching and Supervision

• Consultation groups for other mental health professionals

• Psychotherapy supervision of therapists applying for licensure or specialty certification

• Teaching adult education classes at a university

• Teach a course in a Department of Psychology

• Writing online CE courses

Social Workers

• Family

Coaching for Caregivers

Foster Care Home Studies

• Business

Strategic Planning for Businesses

Mediator for Rock Bands with Problems in Group Dynamics

Social Workers

• Consultation to Organizations

Consultation to nonprofit agencies Re: Compassion Fatigue

Grant Writing for Nonprofit Agencies

• Groups

The Artist’s Way

New Father’s Support Group

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Social Workers

• Retreats

Retreat: Healing the Inner Goddess (held in Maui)

Men’s Vision Quest Retreat (held in Costa Rica)

• Classes/Workshops

Creating a Loving Relationship with MoneyMindful Stress Reduction (8 week class)Workshop: How to Feel Good Naked


Books

Books

Block, A. & Sarwer, D. (2013) Presurgical Psychological Screening: Understanding Patients, Improving Outcomes. APA Books.

• Transplant Recipients and Organ Donors

• Spine Surgery

• Bariatric Surgery

• Pain Control Procedures: Stimulators and Intrathecal Pumps

Books- Lock & Sarwer

• Bone Marrow and Stem Cell Transplant

• Deep Brain Stimulation for Parkinson's Disease

• Temporomandibular Disorder–Related Oral Surgery

• Reconstructive Procedures

• Breast Cancer Surgery

• Gynecologic Surgery

• Carpal Tunnel Surgery

• Cosmetic Surgery

Books

• Alban, A. & Mart, E. (2010) Practical assessment of testamentary capacity and undue influence in the elderly. Professional Resource Press.

• Defining Terms and the Elements of Testamentary Capacity

• Undue Influence

• The Assessment Process

• Introduction to the CD-ROM Instruments and Forms on the CD-ROM

• Frontal Assessment Battery (FAB)Hopemont Capacity Assessment Interview (HCAI)Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)Mental Status Examination Checklist (MSEC)Montreal Cognitive Assessment (MoCA)Semi-Structured Interview for the Assessment of Testamentary Capacity (SSIATC)

Books-Oxford Treatments That Work Series

• The manuals and workbooks in this series contain step-by-step detailed procedures for assessing and treating specific problems and diagnoses.

• They are based on empirical studies

• Client Workbook and Therapist Guidebook

• More than 25 clinical problem areas

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Books-Oxford “Treatments That Work” Series

• A CBT Program for Overcoming Alcohol Problems

• Enhancing Sexuality

• Stopping Anxiety Medication

• Obsessive Compulsive Disorder

• Managing Tourette Syndrome

• Coping Effectively with Spinal Cord Injuries

• CBT Treatment for Coping with Prostrate Cancer


• Coping with Breast Cancer

• Cognitive-Behavioral Stress Management

• Compulsive Hoarding and Acquiring

• A CBT-Approach to the Beginning of the End of Life

• Coping with Chronic Illness

• Mastering Your Adult ADHD

• Mastery of Your Anxiety and Panic


• Overcoming Your Eating Disorder

• Overcoming the Trauma of Your MVA

• Overcoming Your Pathological Gambling

• When Children Refuse School

• Overcoming Insomnia

• Treating Trichotillomania

• Preparing for Weight Loss Surgery

Earning a Living Outside of Managed CareWalfish (2010)

Family Psychology

Psychoeducational Psychology

Health Psychology

Business Psychology

Services to Government

Services to Organizations

Earning a Living Outside of Managed CareWalfish (2010)

Finance

Teaching and Supervision

Specialty Groups

Forensic Psychology

Developing Products

Positive Psychology


What Psychologists are

Doing in Florida

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Innovative Practices in Florida

• Explored websites of Psychologists in Florida through Psychology Today Websites

• Conclusion: There are psychologists in Florida who are entrepreneurial, recognize or fabricate a need, and are providing services in their communities.

• Here are some samples of your colleagues’ work

Government

Ernest Bordini, Ph.D. – Gainesville

• Lead Employee Assistance Program Provider for the City of Gainesville EAP for 15 years. Assists officers involved in officer-involved shootings

Magda Lopez, PsyD. – Miami

• Provide parenting training to families referred from the Department of Children and Families

Interesting Specialties

Jeanne Peterson, PsyD – Wesley Chapel

• Working with individuals and couples undergoing infertility treatment

Katherine Gibson, PsyD. – Sarasota• Safety and Abuse Prevention. Dr. Gibson offers sessions for

children and teens, as well as sessions for parents individually or in groups on the important safety topics facing families today. Safety Topics Include: Body Safety, Abuse and Dating Violence Prevention and Internet Safety

Interesting Specialties

Roxanne Dinkin, Ph.D. - Bradenton

• Educational Consulting: A Positive Approach to the Path to College

Nydia Conrad, PsyD. – Lutz

• Are you happy with your sex life? If not, Dr. Conrad provides a unique weekly program for you and or your spouse to work towards healthy sexual functioning.

Positive Psychology

Susana Marikle, PsyD. – Melbourne

• I provide sport psychology consultation to athletes with issues such as team cohesion, concentration, flexibility, motivation, mental toughness, pre-shot/game routine, visualization, perfectionism, consistency, and other mental skills.

Patricia Fell, PsyD. – Coral Springs

• Hypnotherapy for Professional Achievement, Sales and Leadership

Research

Stanley Althof, Ph.D. – West Palm Beach

• Clinical Trails and Research in Sexuality

Joanna Oesteman, Ed.D. – Fernadina Beach

• Research and Dissertation Services

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Coaching

Elizabeth Buckley, Ph.D. – Gainesville

• Adult ADHD Coaching

Justin D’Arienzo, PsyD. - Jacksonville

• Dating coaching

Jeffrey Spar, Ph.D. – Miami

• Coaching for Physicians & Healthcare Professionals

Assessment

Lori Ben-Ezra, Ph.D. – Hollywood

• Emotional Support Animal Evaluations

Alberto Gamarra, Ph.D. - Weston

• Assessment of sports related concussions

Aaron Donde, PsyD. – Hollywood

• Evaluations for the FAA

Assessment

Alejandro Arias, PsyD – Jacksonville

• Special accommodations for testing (SAT, GRE, USMLE, MCAT, LSAT)

Beth Klein, Ph.D. – Weston

• Conducts career assessments to provide insight into career directions which suit an individual's interests, abilities and personality.

Forensic

Lori Butts, JD, Ph.D. – Davie

• Jury consultation and jury education; jury selection, including the utilization of focus groups; witness preparation;

Richard Hoffman, Ph.D. – Tampa

• Evaluations for the effects of discrimination and harassment.

Forensic

Debra Carter, Ph.D. – Bradenton

• Parent coordination

Michael O’Hara, PsyD – Jupiter

• Forensic Consulting: Write direct and cross-examining questions (whichever is appropriate) for trial or for depositions on matters dealing with mental health and psychology issues

Seminars/Workshops/Courses

Janice Lindsay-Hartz, Ph.D. - Miami

• Mindfulness-Based Stress Reduction (MBSR), an 8-week course in mindfulness meditation.

Michael Lukens, Ph.D. – Hobe Sound

• Intensive group workshops of 2 and 3 day durations are offered on a regular basis, for individuals. All day-long intensive workshop for couples.

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Seminars/Workshops/Courses

David Harvey, Ph.D. – Ponte Verde Beach

• Workshop - GOAL SETTING AND TIME MANAGEMENT Practical and significant for all of us in the fulfillment of our work and personal lives.

• Workshop - ON FORGIVENESS Practical and scriptural, forgiveness is essential for freedom and peace in our lives.

Innovative Practices

Nicolle DeLeo, PsyD. – Fort Lauderdale

• Meal-time Experiential Support

• Parent Training/Coordination for Managing Eating Disorders in the Home

Carmine Pecoaro, PsyD. – Fort Lauderdale

• Sober Living Home. “New Friendships Sober Living” is a Sober Living Enviornment located in Ft. Lauderdale, Florida. It is Co-Ownded By Dr. Carmine Pecoaro. This is one of the very few Sober Living Enviornments that is owned and supervised by a Psychologist

Innovative Practices

Michelle Hintz (Reitman) PsyD - Hollywood

• Saturday Enrichment Programs - Our Saturday Enrichment Camp will provide children with social skills group, music therapy, art therapy and structured enrichment activities which promote skill building, learning and independence. The program is designed to teach and promote appropriate socialization with peers, improve social communication and develop problem-solving skills. Children will be grouped according to age and skill level.

Groups

Kristin Keough, PsyD. – Tampa

• Women's Empowerment Group: The group is focused on empowering women in their self-esteem, relationships, and business.

Stephanie Lippman, PsyD – Wellington

• Development Play Group – “Building Blocks” is a playgroup for parents to learn essential activities for baby’s development at each stage of growth.

Groups

Dawn Silver, Ph.D. – Delray Beach

• Career Change Support Group;

• Bride to Be Support Group

Benmeleh Roditi, Ph.D. – Miami Shores

• Group: Girl Talk is an innovative group specifically for girls ages 11-18. ”Being a girl can be a lot of fun, but at times there can be bumps in the road.”

The Walfish Doctrine

To achieve a long-term successful practice always look to adapt and evolve

20

Opportunities are Where You Find Them and Where You Make Them

Steven Walfish, Ph.D.

2004 Cliff Valley Way, Suite 101

Atlanta, Georgia 30329

(404) 728-0728

[email protected]

potential conflicts of interest specific conflicts of...

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