VAL-BAR-78

Code
VAL-BAR-78
Mercy ID
V-00384-01
Encounter Date
01/15/2001
Last
Valladares
First
Barbara
DOB
03/13/1978
County
Dekalb
Street
178 Prince Anthony Dr.
City
Lawrenceville
State
GA
Zip
30345-
Home
(770) 315-1029
Cell
(770) 315-1029
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
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. Manzo
Data Entry
S. Aviña