MON-ANG-81

Code
MON-ANG-81
Mercy ID
V-01523-01
Encounter Date
03/15/2004
Last
Montante
First
Angelica
DOB
11/07/1981
County
Dekalb
Street
3533 Pleasantbrook
City
Doraville
State
GA
Zip
30340-
Home
(404) 484-7259
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
Home Owner
YES

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