COR-MAR-63

Code
COR-MAR-63
Mercy ID
V-00870-01
Encounter Date
03/26/2002
Last
Corozco
First
Martina
DOB
11/29/1963
County
Cobb
Street
1119 Merlin St. N-E
City
Smyrna
State
GA
Zip
30080-
Home
(678) 556-0511
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
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