VIC-ISA-60

Code
VIC-ISA-60
Mercy ID
V-01270-01
Encounter Date
07/05/2003
Last
Vicini
First
Isabel
DOB
03/04/1960
County
Gwinnett
Street
2563 Seneca Prann
City
Duluth
State
GA
Zip
30096-
Home
(770) 449-9356
Cell
(404) 202-0712
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
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
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
K. Aleman