General Information
Visit Date: March 31, 2020	ID Number: 153138
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:	Provider Relationship:
Number of Children: 4	Ages are: 0-1 yrs, 2yrs, 3yrs, 5yrs
Location where care takes place:
Healthy and Safe Envionments