Code
DEL-MAR-55
Mercy ID
V-00730-01
Encounter Date
11/26/2001
Last
Delgado
First
Maritza
DOB
11/24/1955
County
Fulton
Street
55 Old Holbomb Bridge Way
City
Roswell
State
GA
Zip
30076-
Home
(770) 594-1186
Family Status
Single adult
COB
Puerto Rico
Gender
Female
Housing
Transitional
Education Level
College Degree
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
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