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HG

Hannah Gold

ActiveNot Assessed
CL-007988·Client since 2024-05-30
Date of Birth
1988-12-04
Program
HousingEmployment
Risk Level
Not Assessed
Assigned Staff
Sam Park
ProviderOne ID
P1-43600819
MedicAid Eligibility
Verified
WLP Status
Verified
Consent Form
Client Signed
Client Since
2024-05-30

Personal Information

First Name
Hannah
Last Name
Gold
Date of Birth
1988-12-04
Gender
Not specified
Address
1420 4th Ave Apt 5C, Seattle, WA 98101
Service County
Not Set
Service City
Not Set

Contact Information

Primary Phone
(425) 555-0210
Secondary Phone
Not Set
Email
hannah.gold@example.com

Assigned Staff

Primary Case Manager
Sam Park
Secondary / Support
—
Date Assigned
2024-05-30

Risk Level

Current Risk Level
One Risk Level is active at a time. Updates apply immediately to the Dashboard, Client List, and all client summary views.

Emergency & Secondary Contacts

NameRelationshipPhone
Maria GoldSister(206) 555-0911
Pastor John ReyesCommunity(206) 555-0644

Program Identifiers

ProviderOne ID
No additional identifiers on file.