| Provider ID: 153209 | |||
| Location of care: My Home | |||
| Primary Language spoken by provider: English, | Can read/write language: Yes | ||
| Other languages spoken: English | Read/Write: Amharic, English | ||
| Children in care are: Family | 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:
AMJ Referral. Help with grandson |
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| Consultation Visits | |||