MEN-MAY-80

Code
MEN-MAY-80
Mercy ID
V-00568-01
Encounter Date
06/27/2001
Last
Meneces
First
Mayra
DOB
09/12/1980
County
Dekalb
Street
6684-C Peachtree Industrial Blv./Foxfire Apts.
City
Doraville
State
GA
Zip
30360-
Home
(770) 368-9914
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high 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
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. Manzo
Data Entry
K. Aleman