VAL-MON-86

Code
VAL-MON-86
Mercy ID
V-02340-01
Encounter Date
10/07/2006
Last
Valdez
First
Monica
DOB
09/19/1986
County
Fulton
Street
232 Wood Creek Ct.
City
Roswell
State
GA
Zip
30076-
Home
(678) 683-1204
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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
G. Landeros
Data Entry
J. Manzo