PER-REY-71

Code
PER-REY-71
Mercy ID
V-00871-01
Encounter Date
03/20/2002
Last
Pereyra
First
Reyna
DOB
04/24/1971
County
Dekalb
Street
2903 Alcoa Ct.
City
Chamblee
State
GA
Zip
30341-
Home
(770) 986-2726
Cell
(678) 508-4293
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
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