Code
EFF-EST-49
Mercy ID
V-01929-01
Encounter Date
06/08/2005
Last
Effio
First
Ester
DOB
03/21/1949
County
Dekalb
Street
2959 Courtland Club
City
Doraville
State
GA
Zip
30340-
Home
(678) 698-8725
Family Status
Adult coupie-no children
COB
PerĂº
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