CHA-MAR-63

Code
CHA-MAR-63
Mercy ID
V-00679-01
Encounter Date
09/10/2001
Last
Chamorro
First
Maria
DOB
08/08/1963
County
Cobb
Street
840 Old Alabama Rd.
City
Mableton
State
GA
Zip
30126-
Home
(770) 732-1662
Family Status
Two parent family w/children
COB
Perú
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