Outdoor Ecotherapy Release Form

Jeanne Malmgren, M.Ed., LPC, NCC, CCTP
GREEN BIRD NATURE THERAPY
PHONE: (864) 784-1077
FAX: (888) 935-2927
E-MAIL: malmgrenjeanne@gmail.com

Jeanne Malmgren

Jeanne Malmgren LPC Upstate Counselor | Canso Technologies, LLC | MAILING ADDRESS: P.O. Box 49 Sunset, SC 29685