MAR-GAR-67

Code
MAR-GAR-67
Mercy ID
V-01153-01
Encounter Date
10/01/2003
Last
Garcia
First
Maricela
DOB
12/24/1967
County
Gwinnett
Street
3456 Shelve Park Apt. C
City
Norcross
State
GA
Zip
30092-
Home
(678) 678-2379
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade 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
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. Manzo
Data Entry
K. Aleman