PAC-CAR-66

Code
PAC-CAR-66
Mercy ID
V-00932-01
Encounter Date
05/22/2002
Last
Pacheco
First
Carmela
DOB
05/06/1966
County
Cobb
Street
1309 Sandtown Lot 54
City
Marietta
State
GA
Zip
30060-
Home
(770) 485-3183
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
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