Code
DEL-EDE-70
Mercy ID
V-01142-01
Encounter Date
03/12/2003
Last
De león
First
Edelmira
DOB
12/20/1970
County
Dekalb
Street
3630 Shallowford Rd. G-*
City
Atlanta
State
GA
Zip
30340-
Home
(678) 768-2627
Family Status
Single adult
COB
Guatemala
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
She's pregnant
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