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Agency State:	AL AR AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
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Race:	White Black or African American Unknown/Unreported Asian American Indian or Alaskan Native Native Hawaiian or Pacific Islander More Than One Race
Ethnicity:	Hispanic or Latino(a) Not Hispanic or Latino(a)
Primary Work Setting:	Family Planning/PCAP AIDS Treatment Center Health Center EMS/Police/Fire CBO/Community Correctional Facility/Jail Alcohol/Drug Treatment Mental Health Services Non-Institutional Nursing Service Hospital Child Welfare Service Physician's Office/Lab Health Department Nursing Home/Adult Day Care Educational Institution Other
Highest Education Level:	Less than 12 years High School/GED College 1 College 2 College 3 College 4 Graduate Degree Doctorate Degree
Primary Occupation:	COBRA - CM/CMT Physician COBRA - CFW MR/MH Worker Social Worker/Case Manager Criminal Justice/Law Enforcement Community Educator/Outreach Worker Counselor/Therapist Nurse Emergency Personnel Administrator Domestic Violence Provider Nurse Practitioner/Physician's Asst. Research/Evaluation Teacher/Trainer/Student Other HIV Test Counselor
Years in Current Occupation:	0-1 2-4 5-7 8 or more
Desired mailing address:	Agency Home
What county do you work in the most?:	Brooklyn Bronx Queens Staten Island Manhattan Westchester Nassau Other

 

 

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