MAR-LUI-69

Code
MAR-LUI-69
Mercy ID
V-02225-01
Encounter Date
04/19/2006
Last
Martniez
First
Luisa margarita
DOB
12/23/1969
County
Fulton
Street
1910 Phillips Avenue Apt. 4-D
City
East point
State
GA
Zip
30344-
Home
(404) 763-1425
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
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
R. Gonzalez