VIL-MEL-06

Code
VIL-MEL-06
Mercy ID
V-02696-11
Encounter Date
01/23/2008
Last
Villanueva
First
Melina
DOB
12/22/2006
County
Cobb
Street
2371 Pine Mountain Circle
City
Kennesaw
State
GA
Zip
30152-
Cell
(404) 454-1219
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Melina Cisneros 09/07/1985 Mexico
Father Noe Orlando Villanueva 03/20/1981 Honduras
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
C. Martinez
Data Entry
J. Manzo