WCLCT
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Full Service Name
Service ID Number
Comments
For LCT youth, where appropriate, we will recommend that the youth sign up for BBBS. There has been a lot of funding dedicated to BBBS, so this is a priority for Wash Co.
Service Provider
Service Type
Service Name
Stakeholder Type
Service Description
Service Contact
Phone #
Email
Website
Date of First Contact
Date of Last Visit
Contact Title
Address
Behavior Type
Home Environment
Needs Brochures? Y/N
Needs Flyer? Y/N
Date of Next Visit
Referrals? Y/N
Source
From field: Service Type
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