MAZ-EVE-71

Code
MAZ-EVE-71
Mercy ID
V-01688-01
Encounter Date
09/10/2004
Last
Mazier
First
Evelyn
DOB
07/10/1971
County
Cobb
Street
58 Barret Cr.
City
Marietta
State
GA
Zip
30060-
Home
(678) 842-9782
Family Status
Two parent family w/children
COB
Mexico
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
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