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Summary

Select your appointment - Clémence Moriniere

* Addresses :

* Language:

* Type of appointment:

Adult

23 years and above

(60 minutes)

Young adult

20 - 22 years

(60 minutes)

Young senior

60 - 69 years

(60 minutes)

Senior

70 years and above

(60 minutes)

Assessment

(60 minutes)

Life Coaching

(60 minutes)

Coaching

(60 minutes)

Home Appointment

(60 minutes)

* Place of consultation :

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Mon	Tue	Wed	Thu	Fri	Sat	Sun

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If you are unable to confirm your email address or mobile phone number, the online appointment procedure will not be able to continue.

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* Civility

* Name:

* First name:

* Last name:

* First Name:

* Child's civility:

* Date of birth:

* First name partner:

* Name partner:

family composition

* Name:

* First name:

Name:

First name:

Name:

First name:

* E-mail:

* Mobile:

* Country: Please choose a country.

* Postal code:

* City:

* Address:

I accept the Terms and Conditions

I certify that the data provided are correct and I agree to notify the therapist at the latest 48 hours before the appointment if I will not be present. Otherwise the consultation will be due.

Bancontact

KBC/CBC

Belfius

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You will be redirected to KBC/CBC after clicking on “Pay now

You will be redirected to Belfius after clicking on pay now.

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