MEN-VIV-80

Code
MEN-VIV-80
Mercy ID
V-03324-01
Encounter Date
05/12/2010
Last
Mendez
First
Viviana
DOB
11/18/1980
County
Dekalb
Street
5260 Buford Hwy # 44
City
Chamblee
State
GA
Zip
30340-
Cell
(678) 558-4436
Family Status
Adult couple-no children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
G. Landeros
Data Entry
J. Manzo