HUR-MAR-85

Code
HUR-MAR-85
Mercy ID
V-00863-01
Encounter Date
03/13/2002
Last
Hurtado
First
Maribel
DOB
02/28/1985
County
Cobb
Street
861 Franklin Rd. Apt. 196
City
Marietta
State
GA
Zip
30067-
Home
(678) 797-0308
Family Status
Single parent w/children
COB
Mexico
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
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. Manzo
Data Entry
K. Aleman