CIA-VIO-67

Code
CIA-VIO-67
Mercy ID
V-01457-01
Encounter Date
01/05/2004
Last
Cianci
First
Violeta
DOB
06/22/1967
County
Cobb
Street
6376 Seymour Pl. NW
City
Ackworth
State
GA
Zip
30101-
Home
(770) 792-4283
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College
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
YES
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