MAR-ELD-71

Code
MAR-ELD-71
Mercy ID
V-01039-01
Encounter Date
11/26/2002
Last
Marin
First
Elda
DOB
05/14/1971
County
Dekalb
Street
3425 Cumberland Dr.
City
Chamblee
State
GA
Zip
30341-
Home
(770) 454-7443
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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. Perez
Data Entry
K. Aleman