SIL-AIL-68

Code
SIL-AIL-68
Mercy ID
V-02754-01
Encounter Date
04/09/2008
Last
Silva
First
Aileen
DOB
12/19/1968
County
Fulton
Street
5037 Gardner Drive
City
Alpharetta
State
GA
Zip
30004-
Home
(678) 620-0039
Cell
(404) 384-0015
Family Status
Single parent w/children
COB
Venezuela
Gender
Female
Housing
Single Family
Education Level
College Degree
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
J. Manzo