COR-ELV-70

Code
COR-ELV-70
Mercy ID
V-01633-01
Encounter Date
06/16/2004
Last
Cornejo
First
Elvira
DOB
01/25/1970
County
Other
Street
295 Foller Rd.
City
Alpharetta
State
GA
Zip
30004-
Home
(678) 442-0285
Cell
(404) 388-0682
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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