MAY-PAT-77

Code
MAY-PAT-77
Mercy ID
V-01236-01
Encounter Date
05/20/2003
Last
Mayorga
First
Patricia
DOB
06/22/1977
County
Cobb
Street
22 Lambeth Dr.
City
Hiram
State
GA
Zip
30141-
Home
(770) 949-0087
Family Status
Adult coupie-no children
COB
Nicaragua
Gender
Female
Housing
Not Homeless
Education Level
Some College
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