MON-JOH-85

Code
MON-JOH-85
Mercy ID
V-01533-01
Encounter Date
03/22/2004
Last
Monroy
First
Ingrid johanna
DOB
06/18/1985
County
Dekalb
Street
304 Summit Creek
City
Stone mountain
State
GA
Zip
30083-
Home
(678) 697-0649
Family Status
Two parent family w/children
COB
Colombia
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
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