CAD-MON-71

Code
CAD-MON-71
Mercy ID
V-01588-01
Encounter Date
05/07/2004
Last
Cadena
First
Monica
DOB
05/04/1971
County
Cobb
Street
289 Lakewood Dr.
City
Marietta
State
GA
Zip
30060-
Home
(770) 421-9398
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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. Manzo
Data Entry
K. Aleman