ZAR-GAB-96
- Code
- ZAR-GAB-96
- Mercy ID
- V-00071-15
- Encounter Date
- 02/14/2000
- Last
- Zarate
- First
- Gabriela
- DOB
- 04/10/1996
- County
- Dekalb
- Street
- 1900 St. Columbia Pl
- City
- Decatur
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Aurelia Zarate | 12/27/1963 | Mexico |
| Father | Miguel Zarate | 11/29/1957 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Parents
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- J. Manzo
- Data Entry
- Y. Garcia