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Board of Licensing of Dietetic Practice - Applications & Forms

Applications

• Dietitian/Dietetic Technician Licenses
• Temporary Dietitian/Dietetic Technician Licenses

Forms

• Notice to all applicants regarding HIPDB/NPDB reports
• Credit Card Authorization Form
  To authorize payment of fees by Visa or MasterCard.

 

If you cannot find the what you are looking for, click HERE to send an e-mail message to the Board of Licensing of Dietetic Practice.

 

Last Updated: July 30, 2009

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CONTACT US

• Board of Licensing of Dietetic Practice
• 35 State House State
• Augusta, ME 04333-0035
• phone: (207) 624-8626
• fax: (207) 624-8637
• TTY: (888) 577-6690
• Program Staff

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