VAR-NAT-69

Code
VAR-NAT-69
Mercy ID
V-02684-01
Encounter Date
01/02/2008
Last
Vargas
First
Natalia
DOB
07/27/1969
County
Decatur
Street
1014 Yates Spring Rd.
City
Brinson
State
GA
Zip
39825-
Home
(229) 243-0384
Cell
(229) 400-7667
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Shelter
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
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
J. Manzo