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Case Number: A-19127-02089

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19127-02089

Case Status

Denied

Received Date

2019-08-20

Decision Date

2019-11-01

Refile

N

Original File Date

2020-01-01 07:17:17

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

DESOTO FAMILY CARE CLINIC PLLC

Employer Name Slug

desoto-family-care-clinic-pllc

Employer Address 1

346 STATELINE ROAD

Employer Address 2

Employer City

SOUTHAVEN

Employer City Slug

southaven

Employer State

MISSISSIPPI

Employer State Slug

mississippi

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

38671

Employer Phone

6623135417

Employer Number of Employees

1

Employer Year Commenced Business

2017

NAICS Code

6221

FW Ownership Interest

N

Employer Contact Name

Vimal L Powell

Employer Contact Address 1

346 Stateline Rd West

Employer Contact Address 2

Employer Contact City

Southaven

Employer Contact State/Province

MISSISSIPPI Mississippi

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

38671

Employer Contact Phone

6623135417

Employer Contact Email

desotofamilycareclinic@gmail.com

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

PW SOC Code

11-9081

PW SOC Title

Medical Director

PW Skill Level

Level IV

PW Wage

2000.00

PW Unit of Pay

Month

PW Wage Source

CBA

PW Determination Date

2019-05-07

PW Expiration Date

2019-06-07

Wage Offer From

2000.00

Wage Offer To

0.00

Average Salary

2000.00

Wage Unit of Pay

Month

Worksite Address 1

346 State Line Rd West

Worksite Address 2

Worksite City

Southaven

Worksite City Slug

southaven

Worksite State

MISSISSIPPI

Worksite Postal Code

38671

Job Title

Medical Director

Job Title Slug

medical-director

Minimum Education

Bachelor's

Major Field of Study

Medical or Education

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

N

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2019-05-07

SWA Job Order End Date

2019-06-07

Sunday Edition Newspaper

N

First Newspaper Name

indeed

First Advertisement Start Date

2019-05-07

Second Newspaper Ad Name

desoto time

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-05-07

Employer Website From Date

2018-12-01

Employer Website To Date

2019-03-01

Professional Organization Ad From Date

2020-01-01 07:17:17

Professional Organization Advertisement To Date

2020-01-01 07:17:17

Job Search Website From Date

2018-12-01

Job Search Website To Date

2019-03-01

Employee Referral Program From Date

2020-01-01 07:17:17

Employee Referral Program To Date

2020-01-01 07:17:17

Local Ethnic Paper From Date

2018-12-01

Local Ethnic Paper To Date

2019-03-01

Radio/TV Ad From Date

2020-01-01 07:17:17

Radio/TV Ad To Date

2020-01-01 07:17:17

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

Foreign Worker Education

Master's

Foreign Worker Information: Major

MASTER OF ARTS IN EDUCATIONAL ADMINISTRATION

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

CAGAYAN DE ORO COLLEGE

Foreign Worker Education Institution Address 1

MAX Y SUNIEL STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

CAGAYAN DE ORO

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

9000

Foreign Worker Experience with Employer

Y

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

Vimal Powell

Employer Information Declaration Title

Owner