MIR-NAT-75

Code
MIR-NAT-75
Mercy ID
V-00845-01
Encounter Date
02/13/2002
Last
Miranda
First
Maria natividad
DOB
09/08/1975
County
Fulton
Street
2520 Jonesboro Rd.
City
Atlanta
State
GA
Zip
30315-
Home
(404) 622-0875
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Street
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
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. Manzo
Data Entry
K. Aleman