BUI-ALI-74

Code
BUI-ALI-74
Mercy ID
V-01374-01
Encounter Date
10/08/2003
Last
Buitron
First
Alicia
DOB
05/23/1974
County
Fulton
Street
3315 Roswell Rd. #15
City
Atlanta
State
GA
Zip
30305-
Home
(678) 754-8180
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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
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. Perez
Data Entry
K. Aleman