Waite Street Complaint 5-15-2018 a
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,RS/REHS,CHO,CP-FS LRAM1-)rN(4SALEM.00M
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: / 57/)9 Time: % 0 Received By: t C
Complaint Number: 2116
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