CAR-YES-80

Code
CAR-YES-80
Mercy ID
V-02410-01
Encounter Date
02/06/2007
Last
Carmona
First
Yesica
DOB
05/15/1980
County
Cobb
Street
5252 Darrtte Lot 100
City
Marietta
State
GA
Zip
30064-
Cell
(678) 663-2585
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
J. Manzo