MAR-MAY-69

Code
MAR-MAY-69
Mercy ID
V-01780-01
Encounter Date
12/13/2004
Last
Martinez
First
Mayra enriqueta
DOB
09/22/1969
County
Cherokee
Street
440 Bellfarry Plain
City
Acworth
State
GA
Zip
30102-
Home
(770) 875-3267
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