VIL-PAT-59

Code
VIL-PAT-59
Mercy ID
V-03000-01
Encounter Date
02/06/2009
Last
Villegas
First
Patricia
DOB
09/21/1959
County
Gwinnett
Street
3438 Pittard Rd.
City
Duluth
State
GA
Zip
30096-
Cell
(404) 502-1821
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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