PER-AZU-75

Code
PER-AZU-75
Mercy ID
V-00075-01
Encounter Date
02/08/2000
Last
Perdomo
First
Azucena
DOB
03/02/1975
County
Fulton
Street
1780 Metropolitan Pwy. C-234
City
Atlanta
State
GA
Zip
30315-
Home
(404) 767-3693
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade 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. Perez
Data Entry
Y. Garcia