GAL-JEN-64

Code
GAL-JEN-64
Mercy ID
V-01608-01
Encounter Date
05/24/2004
Last
Gallegos
First
Jenny
DOB
09/05/1964
County
Fulton
Street
1940 Fisher Rd.
City
Atlanta
State
GA
Zip
N/A
Home
(678) 755-2230
Family Status
Single parent w/children
COB
USA
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
Fax # 404-635-0083
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