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General Information

Visit Date: October 4, 2021 ID Number: 153104
Provider Community: African-American Community Health Worker: SIC Other Staff
Primary language: English Do you read write in this language:
Other languages: Do you read write in this language: Yes
Children in Care are: Family Provider Relationship:
Number of Children: 2 Ages are: 2yrs, 9yrs
Location where care takes place:

Healthy and Safe Envionments