VAZ-MAR-89

Code
VAZ-MAR-89
Mercy ID
V-03385-01
Encounter Date
08/09/2010
Last
Vazquez
First
Maria guadalupe
DOB
09/16/1989
County
Cobb
Street
1019 Flankling Road
City
Marietta
State
GA
Zip
30067-
Cell
(678) 914-3365
Family Status
Single parent w/children
COB
Mexico
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
J. Manzo