VIL-ILD-75

Code
VIL-ILD-75
Mercy ID
V-01981-01
Encounter Date
08/26/2005
Last
Villoa
First
Ildia
DOB
10/15/1975
County
Gwinnett
Street
2886 Oxford
City
Duluth
State
GA
Zip
30096-
Home
(678) 580-6823
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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