32 Shore Avenue Complaint 9-20-2018 , n CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR
MAYOR TEL.(978)741-1800
` FAx(978)745-0343
LARRY RAMDIN,HEAL H AGES,CHO,CP-FS I/L=�)�� C/� I LRAMDINCR�SALEM.COM
HEALIHAGENT
COMPLAINT INTAKE FORM
Date: Time: 4 .
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Complaint Number: 2264
Complainant
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