BUS-ANG-79

Code
BUS-ANG-79
Mercy ID
V-02412-01
Encounter Date
02/20/2007
Last
Bustamante
First
Angelica
DOB
02/07/1979
County
Fulton
Street
2581 Church St.
City
Atlanta
State
GA
Zip
30318-
Home
(404) 799-0676
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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