FLO-WAN-80

Code
FLO-WAN-80
Mercy ID
V-01339-01
Encounter Date
09/09/2003
Last
Flores
First
Wanda
DOB
03/04/1980
County
Other
Street
395 Winter Park
City
Doraville
State
GA
Zip
30360-
Home
(770) 649-1274
Cell
(404) 422-8793
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
Home Owner
No

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