MAR-VER-79

Code
MAR-VER-79
Mercy ID
V-00831-01
Encounter Date
02/05/2002
Last
Martinez
First
Veronica
DOB
03/12/1979
County
Clayton
Street
5030 Old Dixie Hwy Apt. 92
City
Forest park
State
GA
Zip
30297-
Home
(404) 362-9657
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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
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