50 PALMER STREET COMPLAINT to CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL t 120 WASHINGTON STREET,4T"FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINRISALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By: ,
Complaint'Number: 2581
Complainant
Address: Phone:
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