REG-MAR-81

Code
REG-MAR-81
Mercy ID
V-00785-01
Encounter Date
12/26/2001
Last
Reglado
First
Marilu
DOB
05/10/1981
County
Fulton
Street
5735 Roswell Rd. Apt. 416-421
City
Sandy spring
State
GA
Zip
30342-
Home
(404) 459-8324
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

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