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Ethan Nguyen

ActiveNot Assessed
CL-008070·Client since 2024-09-14
Date of Birth
1986-11-23
Program
HousingEmployment
Risk Level
Not Assessed
Assigned Staff
Priya Shah
ProviderOne ID
P1-44099820
MedicAid Eligibility
Verified
WLP Status
Verified
Consent Form
Client Signed
Client Since
2024-09-14

Personal Information

First Name
Ethan
Last Name
Nguyen
Date of Birth
1986-11-23
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) 555-0273
Secondary Phone
Not Set
Email
ethan.nguyen@example.com

Assigned Staff

Primary Case Manager
Priya Shah
Secondary / Support
—
Date Assigned
2024-09-14

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 NguyenSister(206) 555-0911
Pastor John ReyesCommunity(206) 555-0644

Program Identifiers

ProviderOne ID
No additional identifiers on file.