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Intake Form

Please click the file icon below to download and complete the intake form.

1676 Dallas Drive Ste C

Baton Rouge, LA 70806

Phone: 225-292-5151

Fax: 225-292-5152

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© 2023 by Louisiana Empowerment Services, LLC. Website by Daniel Comer.

Texas Services

800 Wilcrest Drive Ste 214

Houston, Texas 77042

Phone: 713-636-3255

Fax: 866-201-0410

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