SDoH ACTION CENTER
Appt #12282020-01
Your Appointment Information
| Date of Referral |
12/29/2020 |
| Referral Status |
Service Provided |
| Client UFL-ID No. |
892320938 |
| Date of Birth |
05/081/1977 |
Organization Information and Treatment
| Program Name |
Medical Associate |
| Physical Address |
300 Paoli Pike, Dubuque IA 52124 |
| Phone Number |
(610) 707-4555 |
| Reason for Referral |
Relationship Problems Work Related Problems |
| Desired Outcome |
|
| Contact |
William Donaldson |