VIL-PAU-69

Code
VIL-PAU-69
Mercy ID
V-03386-01
Encounter Date
07/29/2010
Last
Villasana
First
Paula
DOB
03/02/1969
County
Fulton
Street
201 Northwood Dr. # 66
City
Sandy springs
State
GA
Zip
30342-
Cell
(678) 668-6812
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade 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
YES
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo