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Thread-Topic: Response via eform 100009 - VSP Application
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Subject: Response via eform 100009 - VSP Application
Date: Mon, 23 Jan 2017 16:07:48 -0500
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<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX>Mrs.</PREFIX>
<FIRST>Amanda</FIRST>
<MIDDLE>R</MIDDLE>
<LAST>Hanley</LAST>
<ADDR2></ADDR2>
<CITY>Anderson</CITY>
<STATE>SC</STATE>
<ZIP>29625</ZIP>
<EMAIL>amanda.hanley@foothillsalliance.org</EMAIL>
<PHONE_B>864-231-7273</PHONE_B>
<ADDR1>2601 Centerville Rd.</ADDR1>
<TITLE>Counselor</TITLE>
<ORGANIZATION>Foothills Alliance</ORGANIZATION>
<WFUD_DateHire>01/23/2017</WFUD_DateHire>
<WFUD_County>Anderson</WFUD_County>
<WFUD_Muncipality>Anderson</WFUD_Muncipality>
<WFUD_JudCircuit>10th Cir</WFUD_JudCircuit>
<WFUD_Employment>Private/Non Profit Organization</WFUD_Employment>
<WFUD_Credentialing>Basic VSP</WFUD_Credentialing>
<ADDL_PEOPLE>
<PREFIX></PREFIX>
<FIRST>Cindy</FIRST>
<MIDDLE></MIDDLE>
<LAST>Still</LAST>
<EMAIL>cindy.still@foothillsalliance.org</EMAIL>
<ORGANIZATION>Foothills Alliance</ORGANIZATION>
<PHONE_B>864-231-7273</PHONE_B>
<TITLE>Clinical Director</TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>24.216.39.198</CUSTOM1>
<MSG>

</MSG>

</APP>