BOC-CAR-56

Code
BOC-CAR-56
Mercy ID
V-00773-01
Encounter Date
12/12/2001
Last
Bocanegra chiok
First
Carmen
DOB
09/20/1956
County
Dekalb
Street
2767 Briarglenn Dr.
City
Atlanta
State
GA
Zip
30340-
Home
(404) 496-1635
Cell
(404) 427-0787
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Not Homeless
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. Perez
Data Entry
K. Aleman