TOF-BLA-66

Code
TOF-BLA-66
Mercy ID
V-01713-01
Encounter Date
10/06/2004
Last
Taffur
First
Blanca
DOB
09/24/1966
County
Other
Street
6921 South West 129 Ct. Apt 6
City
Miami
State
FL
Zip
33183-
Home
(786) 217-3420
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
Post Grad Degree
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. Perez
Data Entry
K. Aleman