EACH PERSON ATTENDING COMPLETES A SEPARATE INTAKE FORM.
Community Wellness Partners of NC PLLC
809 N. Lafayette St., Suite A, Shelby, NC 28150
1446 E. Gaston St. Suite 101, Lincolnton, NC 28092
Phone: (704) 284-0554
CONFIDENTIAL CLIENT INFORMATION
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Legally Responsible Person ( For Minor Clients)[SWTC must have a copy of official custody documents on file prior to serving a minor]