Living With Integrity Men's Group
Date and Time: TBD. Summer of 2024
Address: 2820 Lassiter Rd. Suite A250, Marietta, GA 30062
Contact: 770-209-3633 or info@eastcobbrelationshipcenter.com
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First Name *
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Are you currently working with a therapist? *
If you answered 'yes' to the above question, please provide your therapist's name. (Please note, I will not contact your therapist without your prior authorization.) *
I understand that this registration form does not confirm my spot in the group. My spot is not confirmed until I have consulted with Matthew Driggers, LPC and completed all necessary paperwork. *
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