MEN-MAR-72

Code
MEN-MAR-72
Mercy ID
V-02849-01
Encounter Date
07/14/2008
Last
Mendez
First
Maria margarita
DOB
08/16/1972
County
Dekalb
Street
5836 Chamblee Tucker Road
City
Chamblee
State
GA
Zip
30341-
Home
(770) 251-1090
Cell
(678) 651-1425
Family Status
Adult couple-no children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Corrales
First
Domingo
DOB
10/02/1961
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES
Tiene 2 hijos en El Salvador y no quizo dar info. De ellos..

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana