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Subject: Response via eform 100009 - VSP Application
Date: Wed, 18 Jan 2017 11:28:17 -0500
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<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX>Ms.</PREFIX>
<FIRST>Shannon</FIRST>
<MIDDLE>Y</MIDDLE>
<LAST>Clea</LAST>
<ADDR2></ADDR2>
<CITY>Columbia</CITY>
<STATE>SC</STATE>
<ZIP>29202</ZIP>
<EMAIL>sclea@sisitercare.com</EMAIL>
<PHONE_B>8039260505</PHONE_B>
<ADDR1>PO Box 1029</ADDR1>
<TITLE>OVW Housing Advocate</TITLE>
<ORGANIZATION>Sistercare Inc.</ORGANIZATION>
<WFUD_DateHire>01/17/2017</WFUD_DateHire>
<WFUD_County>Lexington</WFUD_County>
<WFUD_Muncipality></WFUD_Muncipality>
<WFUD_JudCircuit>5th Cir</WFUD_JudCircuit>
<WFUD_Employment>Private/Non Profit Organization</WFUD_Employment>
<WFUD_Credentialing>Basic VSP</WFUD_Credentialing>
<ADDL_PEOPLE>
<PREFIX>Ms.</PREFIX>
<FIRST>Deborah</FIRST>
<MIDDLE></MIDDLE>
<LAST>Haney</LAST>
<EMAIL>dhaney@sistercare.com</EMAIL>
<ORGANIZATION>Sistercare Inc.</ORGANIZATION>
<PHONE_B>8039260505</PHONE_B>
<TITLE>Coordinator of Community Services</TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>64.53.121.110</CUSTOM1>
<MSG>

</MSG>

</APP>