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/000-0000 Race • White Female Height • 0 0 Person Type . : OTHER PERSON 561/000-0000 (Continued) ***EMPLOYER INFORMATION*** 1-05-000368 PBC DIVISON OF YOUTH AFFAIRS 4200 N AUSTRALIAN AV ACH, FL 33407 E R PERS NI FL 6 Male 0 Case Number . : 1-05- Address . . . : 4900 City/State/Zip : WEST Phone

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00 oO Employer? FAMILY THERAPIST Oper Lic No. 561/000-0000 Race ‘ Female Height 0 Person Type 561/000-0000 *** EMPLOYER INFORMATION*** 1-05-000368 PBC DIVISON OF YOUTH AFFAIRS 4200 N AUSTRALIAN AV City/State/Zip : WEST PALM BEACH, FL 33407 561/840-4540 ER PERSO Last Name Employer? Oper Lic No. Race... Height .

THERAPIST Fema • 0 e Employer? . Oper Lic No Race Height • 0 Person Type • • • . : • White ***EMPLOYER INFORMATION*** 1-05-000368 PBC DIVISON OF YOUTH AFFAIRS 4200 N' AUSTRALIAN AV WEST PALM BEACH, FL 33407 E R P E R 1-05-000368 WAIMMIOW 16 STUDENT 4MOMNIIIIMM Male 0 (Continued) . : O

: FAMILY THERAPIST Oper Lic No. . : Race White Female Height 0 0 Person Type . : OTHER PERSON ***EMPLOYER INFORMATION*** 1-05-000368 PBC DIVISON OF YOUTH AFFAIRS 4200 N AUSTRALIAN AV WEST PALM BEACH, FL 33407 *********OTHER PERSO Case Number . : 1-05-000368 Street Number City Birth Date/Age :