TRA-ARG-73

Code
TRA-ARG-73
Mercy ID
V-01794-01
Encounter Date
12/23/2004
Last
Trachtenberg
First
Argentina
DOB
09/21/1973
County
Cherokee
Street
1121 Bridge Mill Ave.
City
Canton
State
GA
Zip
30114-
Home
(770) 345-6468
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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