COR-WEN-79

Code
COR-WEN-79
Mercy ID
V-02500-01
Encounter Date
05/22/2007
Last
Cordova
First
Wendy
DOB
01/26/1979
County
Fulton
Street
not given
City
Roswell
State
GA
Zip
99999-
Cell
(770) 895-2248
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Other
Education Level
College Degree

Spouse Information

Last
Abellra
First
Ricardo
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana