SAL-CAR-67

Code
SAL-CAR-67
Mercy ID
V-01979-01
Encounter Date
08/12/2005
Last
Saldarriaga
First
Carmen lucia
DOB
03/11/1967
County
Cowetta
Street
151 Parkway North Apt 108
City
Newman
State
GA
Zip
30265-
Home
(770) 502-1886
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Some College
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. Perez
Data Entry
K. Aleman