VEL-MAR-80

Code
VEL-MAR-80
Mercy ID
V-01344-01
Encounter Date
09/10/2003
Last
Velasquez
First
Maria isabel
DOB
09/04/1980
County
Dekalb
Street
3207 Henderson Mill Rd. G2
City
Chamblee
State
GA
Zip
30341-
Home
(770) 454-6195
Cell
(678) 755-4018
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
No
Relative
No
Stranger
No
NOTES
Her DOB is September 4th 1980
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