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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, 30 Jun 2016 18:47:18 -0400
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<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX></PREFIX>
<FIRST>Hildergarde</FIRST>
<MIDDLE></MIDDLE>
<LAST>Williams</LAST>
<ADDR2>Ste. 660</ADDR2>
<CITY>Columbia</CITY>
<STATE>SC</STATE>
<ZIP>29201</ZIP>
<EMAIL>hwilliams@fannieshouse.org</EMAIL>
<PHONE_B>8035427882</PHONE_B>
<ADDR1>1401 Main St.</ADDR1>
<TITLE>Co-founder</TITLE>
<ORGANIZATION>Fannie's House</ORGANIZATION>
<WFUD_DateHire>10/29/2014</WFUD_DateHire>
<WFUD_County>Richland</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></PREFIX>
<FIRST>Rashanda</FIRST>
<MIDDLE></MIDDLE>
<LAST>Williams</LAST>
<EMAIL>hwilliams@fannieshouse.org</EMAIL>
<ORGANIZATION>Fannie's House</ORGANIZATION>
<PHONE_B>8035427882</PHONE_B>
<TITLE></TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>107.77.234.117</CUSTOM1>
<MSG>

</MSG>

</APP>