General Information |
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| Visit Date: March 26, 2019 | ID Number: 153246 |
| Provider Community: Other | Community Health Worker: SIC Other Staff |
| Primary language: English | Do you read write in this language: Yes |
| Other languages: English | Do you read write in this language: English |
| Children in Care are: Family | Provider Relationship: Brother |
| Number of Children: 1 | Ages are: 6yrs |
| Location where care takes place: My Home | |
