SOL-CLU-59

Code
SOL-CLU-59
Mercy ID
V-00522-01
Encounter Date
09/03/2002
Last
Solorzano
First
Claudia
DOB
01/14/1959
County
Dekalb
Street
2537 Peachwood Circle Apt. 1
City
Atlanta
State
GA
Zip
30345-
Home
(404) 248-9560
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College
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
YES
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