Code
WEE-JEN-77
Mercy ID
V-02399-01
Encounter Date
01/26/2007
Last
Weelkly
First
Jenniffer
DOB
01/30/1977
County
Dekalb
Street
1309 Winter Chapel Rd.
City
Doraville
State
GA
Zip
30360-
Cell
(770) 209-9417
Family Status
Two parent family w/children
COB
Costa Rica
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
J. Manzo