AMO-TAL-84

Code
AMO-TAL-84
Mercy ID
V-02262-01
Encounter Date
06/06/2006
Last
Amorim
First
Talita
DOB
10/02/1984
County
Cobb
Street
2085 Roswell Rd Apt-1831
City
Marietta
State
GA
Zip
30062-
Cell
(404) 402-0532
Family Status
Two parent family w/children
COB
Brazil
Gender
Female
Housing
Doubling Up
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
*****2008, NO SE CONTACTO, NO A.R.*****
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