BER-VAN-72

Code
BER-VAN-72
Mercy ID
V-00873-01
Encounter Date
03/23/2002
Last
Bermudez
First
Vanessa
DOB
03/29/1972
County
Gwinnett
Street
0000 Not Given
City
Lawrenceville
State
GA
Zip
N/A
Home
(770) 277-9214
Family Status
Single parent w/children
COB
Costa Rica
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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
YES
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
K. Aleman