VAL-BET-52

Code
VAL-BET-52
Mercy ID
V-00583-01
Encounter Date
05/01/2001
Last
Valdivieso
First
Betty
DOB
12/08/1952
County
Dekalb
Street
International Women's House
City
Not given
State
GA
Zip
00000-0000
Home
(404) 298-1550
Family Status
Single adult
COB
Chile
Gender
Female
Housing
Transitional
Education Level
High school graduate
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. Manzo
Data Entry
K. Aleman