The Human Rights Campaign (HRC) has a great locator for Clinical Care Programs for Gender-Expansive Children and Adolescences here (and they are willing to update/ add new or missing locations if you report to them).
The states without one are Texas, Georgia, Louisiana, Mississippi, Nevada, New Mexico, Kansas, Nebraska, South Dakota, North Dakota, Wyoming, Idaho, Montana, Delaware, and New Hampshire.
The states with most are California (9), New York (5), Pennsylvania (5), Ohio (5), Massachusetts (4), Maryland (3).
The cities with most are San Francisco (5), Los Angeles-Irvine (3), New York City (3), Boston (3), Cleveland (2), Philly (2), Amherst (2).
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