MAG-FEL-60

Code
MAG-FEL-60
Mercy ID
V-00564-01
Encounter Date
06/19/2001
Last
Magaña
First
Felipa
DOB
05/12/1960
County
Clayton
Street
372 Sylvia Dr. A-3
City
Forest park
State
GA
Zip
30297-
Home
(404) 361-6769
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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. Manzo
Data Entry
K. Aleman