LAT-ELV-72

Code
LAT-ELV-72
Mercy ID
V-02767-01
Encounter Date
04/25/2008
Last
Nato
First
Elva
DOB
08/03/1972
County
Dekalb
Street
3353 Chamblee Tucker Rd.
City
Chamblee
State
GA
Zip
30341-
Cell
(404) 453-1685
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical
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