HER-CEL-68

Code
HER-CEL-68
Mercy ID
V-02435-01
Encounter Date
03/12/2007
Last
Herrera
First
Celia
DOB
01/20/1968
County
Dekalb
Street
3329 Buford Hwy I-2
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 858-0730
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school
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
No se hizo 00. A.R. solo follow up 2008. No se hizo contacto.
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