MAC-MAR-80

Code
MAC-MAR-80
Mercy ID
V-01067-01
Encounter Date
12/29/2002
Last
Macedo
First
Marvella
DOB
01/11/1980
County
Cobb
Street
131 Appleton Circle
City
Marietta
State
GA
Zip
30008-
Home
(678) 402-1536
Cell
(404) 380-4145
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
YES
Stranger
No
NOTES
D.L. father,uncle & husband
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
YES
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo