VEN-ANG-58

Code
VEN-ANG-58
Mercy ID
V-00528-01
Encounter Date
10/09/2002
Last
Ventura
First
Angela
DOB
07/04/1958
County
Dekalb
Street
3028 Chamblee Tucker Rd. C-7
City
Atlanta
State
GA
Zip
30341-
Home
(678) 886-2736
Family Status
Two parent family w/children
COB
Dominican Rep
Gender
Female
Housing
Doubling Up
Education Level
Some College
Home Owner
YES

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
YES
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
K. Aleman