BRA-MAR-75

Code
BRA-MAR-75
Mercy ID
V-01223-01
Encounter Date
05/13/2003
Last
Bravo
First
Mary
DOB
08/13/1975
County
Dekalb
Street
4203 Bufford Hwy C1
City
Atlanta
State
GA
Zip
30345-
Home
(404) 321-4857
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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. Manzo
Data Entry
K. Aleman