MAR-ARI-85

Code
MAR-ARI-85
Mercy ID
V-01617-01
Encounter Date
05/27/2004
Last
Marin
First
Arizbeth
DOB
04/25/1985
County
Cobb
Street
6780 Mableton Parkway
City
Mableton
State
GA
Zip
30126-
Home
(404) 351-0288
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
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
K. Aleman