VIN-FAV-74

Code
VIN-FAV-74
Mercy ID
V-02738-01
Encounter Date
03/13/2008
Last
Vina
First
Faviola
DOB
02/20/1974
County
Other
Street
516 Chetsstra Cr.
City
Chelsea
State
AL
Zip
35043-
Cell
(678) 267-0236
Family Status
Adult couple-no children
COB
Venezuela
Gender
Female
Housing
Single Family
Education Level
High school graduate
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
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
J. Manzo