STEPS FOR LICENSURE - Mississippi State Department of Health

Mississippi State Department of Health Complete form, enclose fee and mail to: Mississippi State Department of Health Professional Licensure: SLP/A Post Office Box 1700 Jackson, Mississippi 39215-1700 Attach Copy of Driver’s License or U.S. Social Security Card Attach Photo (Xerox copies are not accepted) Subscribed and sworn to before me ... ................
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