x-sender: governor.haley@sc.lmhostediq.com
x-receiver: governor.haley@sc.lmhostediq.com
Received: from mail pickup service by sc.lmhostediq.com with Microsoft SMTPSVC;
	 Tue, 17 Jan 2017 16:32:35 -0500
thread-index: AdJxCTffT1OtyHrxTD66GjuZGg4ppQ==
Thread-Topic: Response via eform 100009 - VSP Application
From: <governor.haley@sc.lmhostediq.com>
To: <governor.haley@sc.lmhostediq.com>
Subject: Response via eform 100009 - VSP Application
Date: Tue, 17 Jan 2017 16:32:35 -0500
Message-ID: <C82EC3D99F7643228FA677DEB32C9AEB@IQ12>
MIME-Version: 1.0
Content-Type: text/plain;
	charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
X-Mailer: Microsoft CDO for Windows 2000
Content-Class: urn:content-classes:message
Importance: normal
Priority: normal
X-MimeOLE: Produced By Microsoft MimeOLE V6.1.7601.23573
X-OriginalArrivalTime: 17 Jan 2017 21:32:35.0493 (UTC) FILETIME=[37F9D550:01D27109]

<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX>Ms.</PREFIX>
<FIRST>Mollie</FIRST>
<MIDDLE></MIDDLE>
<LAST>Selmanoff</LAST>
<ADDR2>MSC 861, IOP 2 South, BA 203</ADDR2>
<CITY>Charleston</CITY>
<STATE>SC</STATE>
<ZIP>29425</ZIP>
<EMAIL>selmanof@musc.edu</EMAIL>
<PHONE_B>843-792-6118</PHONE_B>
<ADDR1>67 President Street</ADDR1>
<TITLE>Case Manager</TITLE>
<ORGANIZATION>National Crime Victims Research and Treatment Center</ORGANIZATION>
<WFUD_DateHire>01/09/2017</WFUD_DateHire>
<WFUD_County>Charleston</WFUD_County>
<WFUD_Muncipality>Charleston</WFUD_Muncipality>
<WFUD_JudCircuit>9th Cir</WFUD_JudCircuit>
<WFUD_Employment>Private/Non Profit Organization</WFUD_Employment>
<WFUD_Credentialing>Basic VSP</WFUD_Credentialing>
<ADDL_PEOPLE>
<PREFIX></PREFIX>
<FIRST>Megan</FIRST>
<MIDDLE>M</MIDDLE>
<LAST>Wallace</LAST>
<EMAIL>wallam@musc.edu</EMAIL>
<ORGANIZATION>National Crime Victims Research and Treatment Center</ORGANIZATION>
<PHONE_B>843-792-8964</PHONE_B>
<TITLE>Clinic Coordinator</TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>128.23.49.43</CUSTOM1>
<MSG>

</MSG>

</APP>