INE-JES-78

Code
INE-JES-78
Mercy ID
V-00805-01
Encounter Date
01/16/2002
Last
Inestrosa
First
Jessica
DOB
02/17/1978
County
Fulton
Street
3107 Delmar Lane
City
Atlanta
State
GA
Zip
30311-
Home
(404) 696-8766
Family Status
Single parent w/children
COB
Honduras
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. Perez
Data Entry
K. Aleman