MAR-GUA-73

Code
MAR-GUA-73
Mercy ID
V-00697-01
Encounter Date
09/21/2001
Last
Martinez
First
Guadalupe
DOB
10/06/1973
County
Fulton
Street
1348 Gran Creeket
City
Roswell
State
GA
Zip
30076-
Home
(770) 649-6523
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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