BED-WIN-79

Code
BED-WIN-79
Mercy ID
V-03041-01
Encounter Date
04/13/2009
Last
Bedolla
First
Winnie
DOB
09/18/1979
County
Fulton
Street
221 Woodcreek Court
City
Roswell
State
GA
Zip
30076-
Cell
(404) 704-2660
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
YES
Intake
G. Landeros
Data Entry
J. Manzo