| Provider ID: 153159 | |||
| Location of care: | |||
| Primary Language spoken by provider: English, | Can read/write language: Yes | ||
| Other languages spoken: | Read/Write: | ||
| Children in care are: Family, Friends | Number: 1 | Ages: 12yrs | |
| Healthy and Safe Environment Concerns: |
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| Child Development Concerns: |
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| Healthy Children: |
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Healthy Caregiver Concerns:
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| Other Concerns:
Issue with child mother |
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| Consultation Visits | |||