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Check Out Our Upcoming Online Trainings!
The fee for these trainings is $200 per course and will provide 13 CE hours each. After successful completion of the training you will be eligible for certification.
* Please note, training fees do not include certification. *
Anger Management Treatment Provider (AMTP) online training
April 9 - May 21, 2017
Clinical Trauma Professional (CTP) online training
April 9 - May, 21, 2017
Sex Offender Treatment Professional (SOTP) online training
Child & Adolescent Treatment Professional (CATP) online training
April 9 - May 21, 2017
Click here to register
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The Most Recently Certified Professionals
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Chelsey Adamson
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Adeyinka Akinsulure-Smith
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Melanie Abbott
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Denne Adkinson
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Fazilet Ahmed
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Zebunnessa Ahmed
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Michele Akers-Woody
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Katherina Alexandre
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Kearie Alguire
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Marilyn Allen
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Sarah Allen
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Robyn Alliah
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Lisa Allison
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Paula Alloca
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Christopher Anderson
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Joan Anderson
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Mark Anderson
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Renee Anderson
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Suzanne Anderson
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James Appleby
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Jennifer Armstrong
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Dora Arocho
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Abbey Askin
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Lisa Bachmann
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Rebeca Baculpo
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Pamela Balentine
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Sara Bales
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Tracey E. Ball
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Julie Ballew
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Dianna Banks
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James Barden
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Deborah Barela
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Cynthia Barnes
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Marc Barney
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Colin R. Barnicle
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Erica Barron
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Joanne Barton
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Gina Batean
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Rochelle Bates
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Ann Bauermeister
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Royace Baugh
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Daniel Bayless
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Madonna Beamer
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Charles Beard III
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Stephanie Beavers
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Mahsan Behnoud
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Frank Bejarano
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James Bencivenga
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Adam Bennati
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Patricia Bennett
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Amber Benziger
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Kristen Bewley
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Nora Bice
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Sheena Bice
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Mary Biddle
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Jennifer Bieber-West
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Bobbie Bingham
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Rachael Bishop
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Vanessa Black
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Sheila Blackbourn
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Lesley Blackwood
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Melanie Blanton
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Cindy Blasi
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Angela Blesener
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Michael Bloch
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Tara Bogs
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Jamie Born
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Janae Borrego
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Geri Bough
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Jessica Branham
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Barbara Brinton
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Fred Brooks
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Troy L. Brooks
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Demetria Brown
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Laurie Brown
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ReKenna Brown
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Valerie Brown
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Jessica Broz
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Jennifer Brum
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Roxanne Brunsman
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Beth Brunson
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Daniel Bryant
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Michael Bryant
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Trisha Bubenheim
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Cecilia Burgos Gavaldon
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Jessica Burns
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Tasha Burrell
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Kelly Burroughs
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Christine Butler
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Crystal Butler
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Alton Byrd
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Becky Cagel
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Catherine Cain
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Kateland Campbell
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Steve Campbell
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Margaret Canfield
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Sheryl Canida
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Janet Canniff
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Carla Carick
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Deana Carson
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Shashana Carter
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Elizabeth Castaneda
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Cynthia Catchings
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Patricia Chacpn
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Elizabeth Chaisson
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Amy Chandler
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Jeanie Chang
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Rodney Chapman
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Roshni Chatterjee
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John Chianelli
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Susan Child
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Latisha Christensen
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Thomas Cino
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William Clark
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Gail Clarke
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Kristopher Caros
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Kassie Claughton
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Kristine Clay
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Luis Clement
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Robert Cohen
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Reginald Colbert
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Ryanne Colbert
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Danielle Collette
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Theresa Connelly
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Michael Conner
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Maria Constantinou
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Hillary Cook
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Roger Cook
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Curtina Cooper
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Wendy Copeland
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Cynthia Corbin
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Ernest Corbin
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Lynn Corey
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Amy Cosner
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Dannette Coston
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Yolaine Cotel
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Jessica Lee Cottrell
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Damaris Cox
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Mary Coy
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Nikissia Craig
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Emily Creasman
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Sherri Crowl
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Janice Culpepper
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Kathleen Curry
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Angela M. Curtis
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Erica Cuscina
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Eugene D'Adamo
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Roxanne DalPos
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Anne Elizabeth Danbury
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Christina Rallo Daniels
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Maria Daniels
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Adailia Darby
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Sameerah Davenport
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Kimberly Davidson
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Bryn Davis
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Charles Davis
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Chris Davis
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Consuelo Davis
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Teresa Dawson
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Jaliah C. Day-Klaiber
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Janna DeBruler
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Lori DeBlaker
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Heather DeGrote
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Victoria Delheimer
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Colleen Delaney
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Kim R. DeLillo
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Janice DeLorenzo
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Wayne Delusso
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Michael Deninger
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Marbie Descatamiento
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Laurie Deslauriers
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Natasha de Soysa
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Hector Diaz
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Nancy Di Bernard
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Carla Dickinson
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Tracy Diefenbach
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Steven DiMarzo
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Addie Robin DiRoberts
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Tahira Dockery
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Elizabeth Domanksi
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Janet Donahue
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Mitchell Dondey
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Carissa Dore
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Gavin Dosil
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Lenie Doucet
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Felicia Douville
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Tina Doyle-Hines
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Keith Driscoll
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Mary Drotleff
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Alma Duarte
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Amanda Duncan
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Jessica Dutton
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Laura Dyas
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Shevander Dykes
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Jenmarie Eadie
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Stephanie Eddens
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Paola Edwards
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Patrick Elzey
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David Emenhiser
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Katherine Ehrlacher
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Brian Evams
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Kathy C. Evans
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Maria Louise Evans
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Mary Fahey
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LaShawn Faison-Bradley
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Madison Farrell
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Valerie Feeley
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Tanya Fennell
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Christina Fife
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Loine Finlayson
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Misty Fischer
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Robin Fischer
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Elizabeth Fisher
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Sally Fleischman
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Karla Fleshman
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Merrill Flewelling
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Christopher Floro
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Lenore Flynn
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Jamie Flynn-Pressley
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Angelina Fonyanez
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Christina Fontenelle
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Karen Forbes
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Meredith Ford
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Jane Fortune
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Deanna Foster
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Bruce Fountain
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Duane Fox
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Jonathan Fox
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Sarah Franz
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Lynne Friedman
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Marie Friedman
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Gretchen Fry
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Kaitlin Galambos
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Alina Garbuz
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Alena Garcia
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Ron Gardner
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Rogea Gaymon
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Lola Georg
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Cleopatra Gerardino
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Gabriel Ghanoum
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Doug Gibb
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Rebecca Gielow
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Mollie Gibert
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Camelia Gild
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Mattie Giles
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Normand A. Gingras
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Ross Ginkel
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Phelica Glass
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Kristen Godenick
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Danielle Goeckel
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Jennifer Gold
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Laura Golojuch
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Jacqueline Gomez
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Regina Gomez
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Oliva Gaeta Gonzalez
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Martha Gordon
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Matthew Govier
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Heidi Graff
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Joanne Graham
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Lori Graham
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Tamera Graziano
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Angela Green
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Shay Greiner
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Alisha Grill
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Leah Grim
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Joseph Grochowski
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Amy Groh
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Robin Grove
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Esther Grummel
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Lindsey Gullo
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Tiffany Gum
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Sabrina Gummersheimer
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Elizabeth Hagermoser
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Kayla Hall
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LaDonna Hall
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Rachel Hall
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Pam Hamilton
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Garah Hammack
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Cindy Hardy
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Karen Hardy
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Philip Harford
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LaToya Harris
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Tiffany Harris
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Jessica Haskins
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Darryn Haudrich
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Crystal Hawkins
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Jennifer Hayes
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Timeka Hayes
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Latoya Haynes Thoby
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Kathleen Hays
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Mary Heck
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Robert Heckrote
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Lori Helms
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Allison Henderson
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Rebecca Carr Henderson
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Deborah Henson
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Tina Herr
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Laura Herrick
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Roberta Hickcox
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Anthony Hill
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Jenna Hoffer
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Brian Holcombe
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Bethany Holder
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Daniel Holland
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Sarah Holland
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Cean Hollis-Smith
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Rodney Hoopai
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Brian Hooper
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Paul Horn
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Allen Howell
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Bonnie Howell
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Natasha Hrysikos
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Nicole Huggins
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Amy Hughes
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Derrance Hughes
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Jessica Jane Kail Hulland
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Meghan Hunter
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O'Tilia Hunter
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Norman Hurns
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Daniel Huyser
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Jessica Hutchison
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Amy Iannantuono
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Emma Irwin
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Clint Irwin
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Carmelo Isales
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Carol Isbell
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Ambrosia Jackson
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Kristi Jackson
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Heather Jackson
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Camie Lynn Jacobs
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Anjali Jain
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Nicole James
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Ronda Jarvis
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Nishani Jayawardena
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Daniel Jean
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Wanda Jeffcoat
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Dorcille Jernigan
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David Johansen
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Melissa Johansen
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Charlene Johnson
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Danneita Johnson
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Rosalyn I. Johnson
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Stephanie Johnson
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Tracey Johnson
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Brandon Johnston
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Andrew Jones
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Brandy Jones
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Katherine Jones
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Shawn Jones
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Alicia Joseph
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Jeny Joseph
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Kelly Joy
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Mary Joye
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Kathryn Jurado
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Kara Juszczak
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Michelle Kahl
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Sharae Kalian
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Elisabeth Kaplan
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Yohmina Kasey
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Amanda Katchur
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Kayla Keener
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Josette Kehl
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Heidi Khatibi
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Cynthia Kightlinger
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Joel Kightlinger
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Beverly King
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Mary King
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Rebekah King
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Kenneth Kinter
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Sharon Melissa Kissel
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Ruth A. Kleast
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Christopher Klein
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Andrew Klement
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Penny Kline
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Lisa Klosinski
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Julia Knach
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Jeanice Knight-Bogatz
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Philip Koestler
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Jessica Koh
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Kelly Kolyer
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Jean M. Koszalinski
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Summer Krause
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Laura Kresch
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Shauna Kuhbander
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Robert A. Kurth
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Carla Ladnier
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Rhonda Lake
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Anita Lakes
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Vinder Lallian
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Judy Lambert
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Joel Lampert
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Jennifer Lands
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Michele Langrick
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Erica Lapid
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Yovanis Lasso
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Joy M. Laurila
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Laurie Lawrenz
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Deborah S. Lea
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Joanne Leatherman
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Krista LeBlanc
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Rachael LeBlanc
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Gabrielle Lee Torres
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Melissa Lee-Tammeus
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Christine Lee-Zinkle
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Kathleen Lehman
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Theresa Leskowat
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James Lewis
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Kendra Lewis
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Melodie Lewke
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Sarah Lheureux
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Sarah Lippy-Harner
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Mathylda Livieratos
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Mary Cynthia Loftus-Vergari
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Jessica Tobin
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Elizabeth Long
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Catherine Love
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Brandon Lowe
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Kelly Loyd
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Gretchen Luchs
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Doreen Luna
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Susan Luna
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Michelle Lunka
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Jody Lurk
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Janet D. Luzmoor
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Erin Lynch
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Deborah Lynn
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Richard Lyon
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Kathryn Macaruso
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Patricia Macaruso
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Deanna Madison
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Angela Maeda
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Elizabeth Maes
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Joseph Mageary
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Betty Magnus
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Kat Mahone
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Wanda Maldonado
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Sarah Mansfield
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Melissa Marinello
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Angel Markin
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Renea Lauren Marshall
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Crystal Martin
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Mary Martin
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Sherry Martindell
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Kerry Martin-Doehring
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Maritza Martinez-Fernandez
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Franca Martino-Starvaggi
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Ashlee Martlage
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Frank Mastri
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Kirk Matefy
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Jordan Mathis
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Stefanie Matthews
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Steven Maybell
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Lori McCabe
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Lorraine McCann
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Sherry McCaulay
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Brian McGinley
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Kimberly McConnell
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Lisa McCormick
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Camilla McCoy
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Michael McCoy
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Mary McGhee-Pasternak
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Tenisha Nicole McLean
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Jennifer McLuskie
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Christine McWiliams
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Jennifer Meister
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Christina Mettert
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Rita Metz
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Susan Metzger
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Ginger Meyer
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Amy Miller
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Jill Miller
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Paula Miller
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Sarah A. Mills
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Tia Mintz
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Shaina Miranda
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Leah Mitchell
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Monica Mitchell
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Emily Moise-Fontenot
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Nancy Montuori
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Diana Monzon
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Courtney Moore
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Gina Moore
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Anabel Lucio Morales
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Catherine Morrell
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Mary Morgan
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Vivian Morgan
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Kerri Morris
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Kathleen Moser
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Myra Muckle
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Paul Muenzmay
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Therese Muir
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Timothy Muir
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Klaire Mundy
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Ilona A. Munzer
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Susan Murray
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Julia Myers
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Viola Ncube
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Jamie Lea Nellans
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Gladys Newbury
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Stephanie Newton
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Tyler Newton
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Mindy Nicholson
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Brooklee Norris
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Randy Novak
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Andrea Nutt
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Susan O'Brien
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Goziam Ogwu
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Sinead O'Hare
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Ijoma Okwuosa
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Aarian Oliver
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April Oliver
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Carol Olson
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Kimber Olson
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Lottie Olson-Davidson
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Julie O'Mara Meyer
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Audrey O'Neal
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Kay O'Shea
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Carolyn Osoinach
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Thomas Owusu-Asanta
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Lauren Parker
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Nikkia Parker
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Sarah Patrick
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Lauren Pauing
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Mark Pavlick
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Katherine L. Payares
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Jessica Payne
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Susan Pearce
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Miranda Pearson
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Leslie Pechkurow
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Jeanna Pennington
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Tracy Perl
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Barbara Perrey
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Rita Petersen
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Christine Phelps
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Zavel A. Philip
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Anne Pierron
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Jim Pinkston
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Christine L. Plackis
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Jeffrey A. Plancich
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Norma Platt
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Steve Ploum
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Andrea Plumley
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Edwina Polk
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Sara Pollard
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Andrea Polnaszek
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Kathleen Pritchard
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Benjamin Probst
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Frederick Pulphus
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Stephanie Quiroga
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Mitchell Radin
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Bianca Raffety
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Kanjana Rajaratnam
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Ericka Ralph
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Kathleen Ralph
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Anita Raman
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Katrina Ramsey
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Robyn Ramsey
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Catherine Ray
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Sheree Reed
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Randi Reichard
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S. Anthony Reigle
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Sarah Reimer
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Nancy Reitz
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Kayse Reker
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Megan Renz
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Tinecia repard
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Lori Reynolds
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Margaret Reynolds
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Jennifer Ricca
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Meredith Richards
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Jolene Richardson
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Kathleen Ries
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Susan Rigney
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Julie Riley
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Sharron Riley-Seymour
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Corey Rios
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Narkia Ritchie
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Robert Ritchie
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Whitney Robenolt
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Rene Roberts
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Sheila Robinson
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Staci Robinson
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Marina Robles
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Yulia Roe
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Turqoyz Rohgan
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Shirley Rogers
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Joanna Romeo
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Karin Rossi
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Amanda Runfeldt
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Randy Rush
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Michelle Saelin
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Amy Safier
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Margaret Sahm
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Rob Salomonson
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DeAnna Sandquist
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Taharka Sankara
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Mary Ann Santiago
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Elizabeth Santos
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Jenifer Santos
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Matilde Sarmiento
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Carol Sarno
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TaReesa Saunders
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Chanel Scales
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Cynthia Scarborough
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Kelly Scarry-Monteith
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Shelby Schestag
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Ann Scheurer
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Stacey Schimberg
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Judy Schmidt
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Madeline Schmidt
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Leah Schultz
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Kristy Schutt
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Jaclyn Scott
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Wendelyn Seal
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Michelle Segismundo-Reeves
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Kristin Self
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Linda Seman
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Rebecca Sernett
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Thelma Serrano
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Susan Seymour
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Erin Shaffer
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John-Paul Sharp
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John A. Shields
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David Shipper
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Tiffany Shoemaker
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Emily Shovelin
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Soleana Silva
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Mary SimBarcelos
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Lucianne Silva-Machado
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Emily Simers
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Joseph Simmons
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Jimmie Simpson
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Brant Smith
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Cole Smith
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Elaine Smith
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Elizabeth Smith
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Rhonda Smith
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Sandra Smith
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Maryellen Smolenski
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Katharine Snyder
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Joseph Soll
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Erika Sosa
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Lora Spurling
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Brantlee Spurrier
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Laura Squires
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Kimberly Stanford
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Amy Starr
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Regina Staves
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Kelsey Steele
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Kelly Stehle
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Marybeth Steigenga
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Ariel Steinweg-Woods
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Nicolle Stepanian
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Linda Sterling
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Cynthia Stewart
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Janetta Stewart
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Marianne Stewart
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Alexandra Stidham
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Randall Stier
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Laura Stinemore
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Jennifer Stirling
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Katherine M. St John
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Heather Story
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Nikiki Stovall
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Elisabetta Strada
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Laura Stradling
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Melissa Stromberger
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Alan Strong
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Vashon Strong
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Sandra Stubbs
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Scott Stubenrauch
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Brandy Stuhan
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Diahann Suchan
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Genevieve Hellings Sude
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Djuna Swope
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Shannon Sypert
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Marcus Tanner
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Marcella Tarpley
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Leslie Tate
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Collene Taylor
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Katherine Tebo
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Jason Temple
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Jacquelyn Tenaglia
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Anna K. Terman-White
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Laura C. Ter Poorten
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Diana Theiss
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Walter Theissen
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Kiley Thiel
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Colby Thomas
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Corrine Thomas
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Harriet Thomas
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Patrick Thomas
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Tara Thomsen
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Jane Thomasson
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Daisy Thompson
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Kevin Thompson
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Patricia J. Thompson
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Rebecca Thompson
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Juliana Thrall
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Debra-Ann Timberlake
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Joy Todd
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Emily Torp
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Cathiana Torres
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Paula Traverse-Charlton
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Tara Travia
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Natalie Schatzie Troup
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Kate Truitt
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Joe Truland
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Faith Trussell
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Kathryn Tsai
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Nicole Tschopp
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Bryan Tucker
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Cynthia Turner
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Tanya Tyrrell
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Natasha Ufema
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Nathalie Valcarcel
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Sabrina Valente
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Linda Valerian
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Marty Mae VanSickle
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Rachel A. Vaughan
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Kimberly Velez
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Sharon Vernon
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Michelle Victoria
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Samara Vijaya
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Hoa Vo
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Molly Vogel
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Alissa Dillon
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Vonzell Wade
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Julie Walder
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Amanda Walker
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Chanel Walker
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Ellen Walker
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Patricia Walker
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Rachael Walker
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Renee Walker
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Bryan Walsh
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Sandra Waltz
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JoAnn Wanner
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Sherry Warner
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Allen Washington, Sr
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June Washington
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Anthony Watkins
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Rebecca Watson-Frazier
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Vanessa Watts
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Laura Wayne
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Margaret Weakley
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LaVina Weaver
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Jan L. Weber
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Wilfred Weeks Jr.
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Jerren Weekes-Kanu
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Melissa Weipert
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Jessica Weiss-Zandfard
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Christine Wells
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Pamela Wenger
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Abigail Wengerd
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David Westgate
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Shryl Whigham
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Wendy Whinnery
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Cindy White
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Samantha White
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Jennifer Wilke-Deaton
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Sandra R. Willett
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Danielle Williams
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Lisa Williams
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Margaret Williams
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Paige Williams
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Stacey Williams
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Nicole Willms
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Kelly Wills
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John D. Wilson
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Kelly Windle
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Allen Wolf
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Wai Wong-Miller
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Carol A. Worthington
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Priscilla Wright
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Virginia York
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Jennifer Young
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Michelle Young
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Joy Youngland
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Susana Zambrano
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Diana Zilly
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Robert Zinn
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Maria Zirkle
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International Association of
Trauma Professionals (IATP, LLC)
5104 N. Lockwood Ridge Rd.
Suite 201
Sarasota, FL 34234
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In this edition of TraumaPro we have the pleasure of looking at the work of Elijah Imlay, a writing facilitator, psychotherapist, and meditation guide. He has presented writing workshops for active duty personnel and veterans at Walter Reed Hospital and Fort Meyers in Virginia. He has also led several writing groups for veterans who live in Southern California. Elijah has attended and sometimes led the Veterans Writing Workshop organized by Maxine Hong Kingston in Petaluma, California.
As a Licensed Clinical Social Worker, Elijah has worked with women and men who suffer from posttraumatic stress disorder or related mental health issues and who are in need of healing interventions. He is on the faculty of the Institute of Applied Meditation on the Heart. A research paper entitled: "Heart Rhythm Meditation to Reduce Auditory Hallucinations and Anxiety: A Single Case Study," was published in The International Journal of Healing and Caring in September 2015. Elijah has a background in traditional methods of meditation and healing, especially those related to Sufis. These methods may help create a safe environment for the writing process.
***
The newly released book,
Trauma, PTSD, Grief & Loss, published by PESI Publishing & Media, ISBN 9781683730392, $24.99 (available at
www.pesi.com and
www.amazon.com
)
provides a holistic and systemic path of understanding of traumatic stress, and charts the most effective treatments outlined via the 10 core trauma competencies. Trauma experts Mike Dubi, Patrick Powell and Eric Gentry bring years of clinical trauma experience to the field, providing best-practice, evidence-based clinical interventions
and techniques.
The chapters include discussions on accelerated trauma treatment using the active ingredients and positive expectancy, perceived threat, the autonomic nervous system and self-regulation, posttraumatic stress and PTSD assessment, the tri-phasic model, narrative exposure therapy, grief, loss and mourning and the next phase for the treatment of trauma.
This book is an excellent overview for the understanding and treatment of traumatic stress for new trauma therapists and a review for more experienced clinicians. (See an excerpted case study elsewhere in this newsletter.)
Also, in this edition, we are introducing our new and expanded advisory board. We will highlight them in future newsletters.
As always, keep up the great work you all do in the field of trauma.
Mike Dubi, President
If you would like to submit an article for this newsletter, contact [email protected]. Please include your complete contact information. We reserve editorial license.
Mike Dubi and Bessel van der Kolk, Raleigh, NC, March 2017
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| Upcoming Online Trainings |
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The next cycle of our core 6-week, online trainings begins on April 9, 2017. These self-paced trainings are ideal for working professionals. You can log on any time, but you must complete the week's assignment within that week. Allow 2.5 to 3 hours per week. The cost of each training is $200. Optional certification after successful completion is $99. For outlines and objectives for each training session, go to course outline and objectives
- Clinical Trauma Professional (CTP)
- Anger Management Treatment Provider (AMP)
- Sex Offender Treatment Professional (SOTP)
- Child & Adolescent Treatment Professional (CATP)
Our advanced level Expert Trauma Professional (ETP) is under revision.
Many thanks for your continued support of IATP and our mission of educating mental health professionals in order to help those with the greatest need--trauma survivors.
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[email protected]
One of the biggest hitches we see while communicating with our participants, members and certificate holders is that some of you have spam filters and firewalls which prohibit you from getting our emails. Please be mindful of that and look in your spam folder! This applies especially to those of you contacting us from institutional emails/websites. If you would like to provide an additional address to ensure timely communications, send an email to [email protected]
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| Alternative Trauma Therapies by Elijah Imlay, LCSW |
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Two Regulation Techniques
Water Breath
1. Breathe in through your nose and out through your mouth.
2. Exhale a fine stream of air, a gentle blowing and letting go, like a deep-felt sigh.
3. Inhale and imagine the crown of your head opening like a chalice.
4. As you exhale, watery energy not only passes over you like a waterfall, but it also washes within you.
5. Water, a metaphor for love, is nurturing and soothing, good for cleansing emotional wounds.
6. Let the water flow to wherever it is needed for healing.
7. Become that stream.
Hands on Heart
1. Place the palm of your right hand on your chest, then place the palm of your left hand on the right hand. Feel how comforting that is.
2. Place your attention there, about two inches above the bottom of the sternum, over the center of your heart.
3. Be aware of your breath, as if you are breathing in and out of your heart.
4. As you do this, you may feel the beating of your heart or a pulsing in your fingers or hands.
5. This is both a soothing and a grounding practice that helps reduce anxiety and prevent dissociation.
Imlay has used these methods and others at the beginning of a creative writing session with veterans of war. The Water Breath helps those who have a history of trauma to relax into a creative flow, no matter how vivid or difficult their memories may be.
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An Example of Writing Therapy in the Form of a Poem
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| It is helpful for participants to give their complete attention to those who share their work out loud. By doing this, they are added to the original traumatic memories in veterans in the writing group who have been isolated by pain. This group support is usually well received. It can also be helpful on one-on-one meetings. I (Imlay) located a friend of mine 25 years after the end of the Vietnam War. He had the same nightmares every night until we reconnected. He turned those memories into prose and then I turned them into a poem out of which came healing and forgiveness. Bird Grieves for the Man They Killed
We wore the steel bracelets
of Montagnards money-
for
that
mountain people,
good fortune for us. I held
my
broken glasses together
with safety pins. I wrote
the 23rd Psalm on my helmet's
elastic
band. John Jim,
our ammo bearer, gave us
each a Navajo necklace,
turquoise and onyx
with a single white feather,
strung by his wife. I took out earphones
every night and listened to George Harrison
sing My Sweet Lord. If only
we had not found a picture
of wife or girlfriend
in the billfold of the Vietnamese
we killed. Easy to say
it wasn'
t
me who shot him,
but I still see his eyes
that
never close and should accuse me,
yet don't.
They're looking at her photo.
DREEMER:
The architect of
your
face
reveals what
you
feel.
Do you
ha
ve
daytime nightmares?
I wonder what helps you heal.
KINGSLEY:
I ask for his forgiveness.
The nightmare never leaves. I
want
to
say
,
let's be friendly and open together.
How
can I
embrace
you
now
that
you are
gone?
Cou
ld
your photo talk to my photo?
Could my photo
ta
lk
to
yours?
Am I walking in
your
ancestors
'
footsteps?
Is my body
behind
you
or before
you?
Is
walking through the jungle in a downpour
a way to
lo
ve
each other
when we both wear camouflage? I want
to
say,
Let's
be
friendly and open together.
DREEMER:
I
want
you illuminated-
the cheeks of childhood
but not the cheeks of war-
or maybe them as well-
for
who
am I to be
the arbiter of beauty?
Let's dream about the future.
At times
I
feel free
,
and if I had a daughter
I would name her Skye.
Our hearts
will
lift together
into breathtaking blue.
I want you illuminated-
so
all the places that hurt
whi
l
e we
pick
wild
blueberries
up on Old Rag Mountain-
are simply
shifting
moments.
(Kingsley puts down his rifle.)
KINGSLEY:
Muslims and Jews
were
tested
by an angel
in
the
guise
of a penniless
stranger
who knocked
on
the door for food.
Well,
I'm home.
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The following is a case study from Trauma, PTSD, Grief & Loss: The 10 Core Competencies for Evidence-based Treatment.
It describes how extreme trauma in children can be a more powerful cause of PTSD than actual combat.
The Relationship Between Adult PTSD
and Early Trauma
In 2011, I worked with Thom, a veteran who served 7 tours of combat in Iraq and Afghanistan. He was diagnosed with PTSD and came to see me at the urging of his wife who threatened to leave him if he did not participate in psychotherapy. He agreed to see me but was also prepared to hate me and to hate therapy. As he came into my office and we shook hands he began laughing and said that I looked like his grandfather, the only family member he liked and I thought looking like a grandfather was an interesting psychotherapy technique. He began by talking about his combat experiences and how powerful they were.
But, as I listened, I also thought there was little real evidence to suggest symptoms of intrusion, avoidance, negative alterations or arousal, the main symptom clusters for PTSD. And, although we both got a little teary at some of the events he shared, I was perplexed as to how the original diagnosis was made until he began to talk about his early childhood - especially the relationship with his stepfather.
Thom's biological father disappeared permanently when he was 3 and his mother destroyed pictures and all evidence of his father. She changed his last name to hers. When he was 7 his mother remarried and the new stepfather was a brute to this child. For example, he would frequently slap Thom on his head for no reason.
Once, when Thom was sitting and watching TV, the stepfather hit him so hard that Thom actually was lifted from the chair and flew across the room. Whenever Thom had a bad report card (which was most report cards), he was severely punished. This consisted of the stepfather having Thom sit on a chair facing the stepfather who would repeatedly hit him on his head with a spoon until Thom's head began to bleed. While the stepfather was hitting him with the spoon Thom watched the stepfather become sexually aroused. We often describe men like the stepfather as being sexual sadists. These men often marry certain women to get to their children. This sexual abuse continued until Thom was 11 and the stepfather left the family.
There is a great deal of material written about the relationship between child sexual abuse and later PTSD and we spent most of the remaining therapy sessions working on this early abuse. In particular, we used EMDR therapy which was originally developed to help clients reduce the dysregulation produced by traumatic memories. By accessing, bringing up and desensitizing these memories, the dysregulation is relieved. Thom had 14 EMDR sessions before we could terminate treatment.
-Mike Dubi
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Over the past several months we have made some changes to the IATP Advisory Board. In future editions of TraumaPro
we will highlight each of these impressive professionals. We welcome the following board members:
Stephen Paul Adler, Ph.D., a psychoanalyst, hypnotherapist and traumatologist from New York & Rio de Janeiro, Brazil.
Andy Brown, Ed.D., an Assistant Professor of Counseling and psychotherapist from Raleigh, NC.
Carman Suzanne Clark, Ed.D., LPC, a therapist and 17-year Air Force veteran from Atlanta, GA
Gerald F. Fennell, MBA, EDS, Ed.D, Captain US Navy (Ret) and a psychotherapist from Sarasota, FL
Bill Gately, MA, a licensed psychotherapist and licensed funeral director
from Sharon, MA
Gale Kelly, Ed.D., LMHC, psychotherapist and expert on child abuse from Bradenton, FL
Debra Leggett, Ph.D., LMHC, Associate Professor and Counseling Department Chair, psychotherapist, and an expert on sex offender treatment from Sarasota, FL
J. Barry Mascari, Ed.D., LPC, LCADC, ACS, NJDRCC, Associate Professor and Counseling Department Chair, addictions and disaster mental health expert from Bernardsville, NJ
Harry L. Morgan, Ph.D., LMHC, CFMHE, CCSOTS
LTC USAR (retired), psychotherapist, retired Army Chaplain and expert on sex offender treatment from Palmetto, FL
Bridgett Moss, Ed.D., LPC, psychotherapist and counseling faculty member from Macon, GA
Lee Norton, Ph.D., MSW, LCSW, psychotherapist and forensics expert from Nashville TN
Patrick Powell, Ed.D., LMHC, NCC, Associate Professor and traumatologist from Tampa, FL
Mindi Raggi, Ed.D., LCSW, psychotherapist, traumatologist and college faculty member from North Wales, PA
Christine Sawyer, M.D. is a psychiatrist and addictions specialist from Anchorage, AK
Shawn Silverstein, Ph.D. is a licensed psychologist and supervisor from Los Angeles, CA
Glynnis Thomas BA (Hons), Adv. Dip. Dyslexia, MA (Ed) is a special education consultant from Cardiff,
Wales
Jane M. Webber, Ph.D., LPC, DRCC, is a psychotherapist, educator, author and disaster mental health expert from Bernardsville, NJ
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