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Centrul de asistenţă specializată şi formare continuă

„Casa Speranţei” din or. Fălești

FIŞA DE OBSERVAŢII

Nume şi prenume beneficiar: _____________________________________________


Data naşterii: __________________________________________________________
Data întocmirii: ________________________________________________________

DETALII:
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CONCLUZII:
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Specialistul care a întocmit fișa _________________________________________________

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