COR-CON-75

Code
COR-CON-75
Mercy ID
V-02291-01
Encounter Date
07/25/2006
Last
Correa
First
Maria consuelo
DOB
06/02/1975
County
Dekalb
Street
46 Deefield Rd.
City
Covington
State
GA
Zip
30014-
Home
(770) 786-1633
Cell
(706) 819-9539
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
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
J. Manzo