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Contact Information
Job Title
Office Information
Office Address
Contact Person
Background and Expertise
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Provider Type
Areas Served
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Areas of Expertise
A two to three sentence description of you or your organization.
A two to three sentence description of the types of programs your organization offers.
A short description of eligibility requirements (if any) for the programs your organization offers.
Include a video introducing yourself or your organization to potential clients. It is recommended to upload your video to YouTube and then paste the video URL into this field.
Gender(s)
Choose gender identities that apply to you or your organization. This will help potential clients find providers that reflect their own gender experience.
IDD Service Provider Identities
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Specialized In
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Languages
Languages
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Types of services
Types of Services
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Does your organization provide transportation?
Finances
Funding Method
Types of Payment Accepted
Availability
Accepting New Participants
Published Status
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