General Information |
|
| Visit Date: | ID Number: 153116 |
| Provider Community: African-American | Community Health Worker: |
| 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: |
| Number of Children: 2 | Ages are: 10yrs, 12yrs |
| Location where care takes place: | |
Healthy and Safe Envionments
|
|
