HER-MIR-30

Code
HER-MIR-30
Mercy ID
V-02061-01
Encounter Date
10/16/2005
Last
Hernandez
First
Mirna lilian
DOB
11/30/1972
County
Dekalb
Street
1215 Bruckett Way
City
Clarkston
State
GA
Zip
30021-
Cell
(678) 410-3359
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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
Code ends w/the woman's day of birth. Another woman in system w/similar name has same code w/same year.
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
R. Gonzalez