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Thread-Topic: Response via eform 100009 - VSP Application
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Subject: Response via eform 100009 - VSP Application
Date: Thu, 21 Jul 2016 18:39:34 -0400
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<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX>Ms.</PREFIX>
<FIRST>Malisha</FIRST>
<MIDDLE>Maria</MIDDLE>
<LAST>Gilliard</LAST>
<ADDR2></ADDR2>
<CITY>Beaufort</CITY>
<STATE>SC</STATE>
<ZIP>29901</ZIP>
<EMAIL>leadadvocate@codabft.com</EMAIL>
<PHONE_B>843-441-5400</PHONE_B>
<ADDR1>PO Box 1775</ADDR1>
<TITLE>Lead Shelter Adovcate</TITLE>
<ORGANIZATION>Citizens Opposed to Domestic Abuse</ORGANIZATION>
<WFUD_DateHire>04/18/2016</WFUD_DateHire>
<WFUD_County>Beaufort</WFUD_County>
<WFUD_Muncipality>Beaufort</WFUD_Muncipality>
<WFUD_JudCircuit>14th Cir</WFUD_JudCircuit>
<WFUD_Employment>Private/Non Profit Organization</WFUD_Employment>
<WFUD_Credentialing>Basic VSP</WFUD_Credentialing>
<ADDL_PEOPLE>
<PREFIX>Ms.</PREFIX>
<FIRST>Mary</FIRST>
<MIDDLE></MIDDLE>
<LAST>Fairbanks</LAST>
<EMAIL>asstdirector@codabft.com</EMAIL>
<ORGANIZATION>Citizens Opposed to Domestic Abuse</ORGANIZATION>
<PHONE_B>843-770-1070</PHONE_B>
<TITLE>Shelter Coordinator</TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>64.20.130.84</CUSTOM1>
<MSG>

</MSG>

</APP>