67 SCHOOL STREET COMPLAINT .0 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 LRAMDIN aQSALEM.COM
HEALTH AGENT
COrrMPLAINT INTAKE FORM
Date: /4Time: G• 6 Received By: �
Complaint Number: 2590
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