TOL-PET-82

Code
TOL-PET-82
Mercy ID
V-02237-01
Encounter Date
04/18/2006
Last
Toloza
First
Petronila
DOB
07/26/1982
County
Dekalb
Street
2200 Peachtree Industrial #2206
City
Doraviile
State
GA
Zip
30060-
Home
(678) 598-4967
Cell
(678) 933-7942
Family Status
Two parent family w/children
COB
El Salvador
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
G. Landeros
Data Entry
R. Gonzalez