ORD-MIR-76

Code
ORD-MIR-76
Mercy ID
V-00637-01
Encounter Date
07/30/2001
Last
Ordoñez
First
Miriam
DOB
04/29/1976
County
Other
Street
4289 Rex Rd.
City
Rex
State
GA
Zip
30273-
Home
(770) 507-7748
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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