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2. Name:*
3. Title/Occupation: *
5. Agency/Organization:*
6. Division:
8. Email Address: *
9. Phone Number:*
11. Counties Served:*

    1. Atascosa
    2. Bandera
    3. Bexar
    4. Comal
    5. Frio
    6. Gillespie
    7. Guadalupe
    8. Karnes
    9. Kendall
    10. Kerr
    11. McMullen
    12. Medina
    13. Wilson
12. Discipline:*

    1. Courts and Prosecution
    2. Law Enforcement
    3. Victims Services
    4. Mental Health
    5. Women's Services
    6. Non-Profit
    7. Municipal Government
    8. County Government
    9. Citizens/Parents
    10. Substance Abuse Prevention
    11. Juvenile Justice
    12. Public Education
    13. Other
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