VAR-YAM-86

Code
VAR-YAM-86
Mercy ID
V-03335-01
Encounter Date
05/26/2010
Last
Smith
First
Yamileth
DOB
10/15/1986
County
Cobb
Street
861 Franklin Rd.
City
Marietta
State
GA
Zip
30067-
Cell
(404) 645-4411
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Single Family
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
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
J. Perez
Data Entry
J. Manzo