AMU-DIA-74

Code
AMU-DIA-74
Mercy ID
V-02319-01
Encounter Date
09/06/2006
Last
Amu
First
Diana
DOB
03/03/1974
County
Dekalb
Street
3612 plasantdale Rd. # 22
City
Doraville
State
GA
Zip
30340-
Cell
(678) 683-7014
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Adult, no formal education
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
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
G. Landeros
Data Entry
J. Manzo