VEL-VIR-83

Code
VEL-VIR-83
Mercy ID
V-01630-01
Encounter Date
06/14/2004
Last
Velasquez
First
Virginia
DOB
02/24/1983
County
Gwinnett
Street
3344 Fair Way Oak Dr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 921-3420
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
No
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