SAN-CAT-80

Code
SAN-CAT-80
Mercy ID
V-02461-01
Encounter Date
03/30/2007
Last
Sanchez
First
Catalina
DOB
11/27/1980
County
Dekalb
Street
2410 Johnson Rd. #-D
City
Atlanta
State
GA
Zip
30345-
Home
(678) 891-7642
Family Status
Two parent family w/children
COB
Mexico
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