DIE-DOR-63

Code
DIE-DOR-63
Mercy ID
V-00503-01
Encounter Date
09/05/2002
Last
Diego
First
Doris
DOB
08/05/1963
County
Fulton
Street
360 Troy St.
City
Atlanta
State
GA
Zip
30315-
Home
(404) 627-0774
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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
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
K. Aleman