SAN-SAN-78

Code
SAN-SAN-78
Mercy ID
V-01720-01
Encounter Date
10/11/2004
Last
Sanders
First
Sandra
DOB
05/05/1978
County
Dekalb
Street
3560 Meadow Glen Apt N
City
Atlanta
State
GA
Zip
30340-
Home
(770) 875-2515
Cell
(404) 668-0658
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
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
YES
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