MAR-JOV-74

Code
MAR-JOV-74
Mercy ID
V-01371-01
Encounter Date
10/10/2003
Last
Martinez
First
Jovita
DOB
11/28/1974
County
Dekalb
Street
1140 Park Creek Circle
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 921-4839
Cell
(404) 805-1329
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
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