MAR-PAS-66

Code
MAR-PAS-66
Mercy ID
V-00675-01
Encounter Date
09/11/2001
Last
Martinez
First
Pascuala
DOB
05/17/1966
County
Dekalb
Street
567 Rimrock Trail
City
Stone mountain
State
GA
Zip
30084-
Home
(404) 593-6410
Cell
(770) 216-9473
Family Status
Single parent w/children
COB
El Salvador
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. Perez
Data Entry
K. Aleman