VEL-EST-68

Code
VEL-EST-68
Mercy ID
V-02794-01
Encounter Date
05/21/2008
Last
Veloz
First
Estela
DOB
02/15/1968
County
Gwinnett
Street
5543 Botton Gwinnett
City
Norcross
State
GA
Zip
30093-
Cell
(770) 359-0747
Family Status
Adult couple-no children
COB
Dominican Rep
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
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
J. Perez
Data Entry
J. Manzo