SAL-MAR-67
- Code
- SAL-MAR-67
- Mercy ID
- V-00869-01
- Encounter Date
- 03/20/2002
- Last
- Salazar
- First
- Marta
- DOB
- 09/20/1967
- County
- Gwinnett
- Street
- 4282 Invernest Rd.
- City
- Duluth
- State
- GA
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
- Lives With
- N/A
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- J. Perez
- Data Entry
- K. Aleman