Code
MAG-MAR-54
Mercy ID
V-00548-01
Encounter Date
09/12/2001
Last
MagaƱa
First
Martha
DOB
01/13/1954
County
Dekalb
Street
3700 Buford Hwy Apt. #34
City
Atlanta
State
GA
Zip
30329-
Home
(404) 320-1655
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
J. Perez
Data Entry
K. Aleman