FER-VAN-78

Code
FER-VAN-78
Mercy ID
V-03155-01
Encounter Date
09/01/2009
Last
Feris
First
Vanesa
DOB
09/27/1978
County
Cobb
Street
2506 Harvor Landy
City
Smyrna
State
GA
Zip
30087-
Cell
(404) 423-9699
Family Status
Adult couple-no children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
College Degree
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
G. Landeros
Data Entry
J. Manzo