ARE-CLA-68

Code
ARE-CLA-68
Mercy ID
V-02451-01
Encounter Date
03/28/2007
Last
Arenas
First
Claudia
DOB
10/30/1968
County
Rockdale
Street
27 skyline Dr.
City
Conyers
State
GA
Zip
30012-
Cell
(404) 452-6237
Family Status
Single parent 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
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