VAL-MAR-78

Code
VAL-MAR-78
Mercy ID
V-01409-01
Encounter Date
11/17/2003
Last
Valdez
First
Martina
DOB
09/25/1978
County
Fulton
Street
1901some street in
City
East point
State
GA
Zip
30344-
Home
(404) 669-8724
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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