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Cisco certifications are infinitely more useful. If you have CCNA certification you really don't need MCSE, and if you don't have friends in the tech industry able to tell you this you might have a hard time landing a job with either.
It's been my experience with IT that 90% of it comes from networking. Then again, my experience approaching the field without a formal education might be different from the norm.
You'll need to sit exams for either, but the course isn't mandatory for Microsoft certifications to my knowledge. If you'd prefer, you can pick up the books and study on your own.
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I wake up in the morning more tired than before I slept
I get through cryin' and I'm sadder than before I wept
I get through thinkin' now, and the thoughts have left my head
I get through speakin' and I can't remember, not a word that I said
- Ben Harper, Show Me A Little Shame
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