URB-MAR-71

Code
URB-MAR-71
Mercy ID
V-01016-01
Encounter Date
10/14/2002
Last
Urbaez
First
Maria
DOB
06/24/1971
County
Dekalb
Street
3106 Dupont Lane
City
Tucker
State
GA
Zip
30084-
Home
(770) 491-1217
Family Status
Two parent family w/children
COB
Venezuela
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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. Perez
Data Entry
K. Aleman