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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, 31 Oct 2016 16:20:22 -0400
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<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX></PREFIX>
<FIRST>Davelyn</FIRST>
<MIDDLE>A</MIDDLE>
<LAST>Hill</LAST>
<ADDR2></ADDR2>
<CITY>Spartanburg</CITY>
<STATE>SC</STATE>
<ZIP>29302</ZIP>
<EMAIL>davelyn.hill@shrcc.org</EMAIL>
<PHONE_B>864-583-9803</PHONE_B>
<ADDR1>236 Union Street</ADDR1>
<TITLE>Therapist</TITLE>
<ORGANIZATION>SAFE Homes-Rape Crisis Coalition</ORGANIZATION>
<WFUD_DateHire>10/03/2016</WFUD_DateHire>
<WFUD_County>Spartanburg</WFUD_County>
<WFUD_Muncipality>Spartanburg</WFUD_Muncipality>
<WFUD_JudCircuit>7th Cir</WFUD_JudCircuit>
<WFUD_Employment>Private/Non Profit Organization</WFUD_Employment>
<WFUD_Credentialing>Basic VSP</WFUD_Credentialing>
<ADDL_PEOPLE>
<PREFIX></PREFIX>
<FIRST>Elizabeth</FIRST>
<MIDDLE>A</MIDDLE>
<LAST>Pratt</LAST>
<EMAIL>elizabeth.pratt@shrcc.org</EMAIL>
<ORGANIZATION>SAFE Homes-RapeCrisis Coalition</ORGANIZATION>
<PHONE_B>864-583-9803</PHONE_B>
<TITLE>Clinical Director</TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>68.115.228.106</CUSTOM1>
<MSG>

</MSG>

</APP>