MEJ-DIN-77

Code
MEJ-DIN-77
Mercy ID
V-02484-01
Encounter Date
05/01/2007
Last
Mejia
First
Dina
DOB
06/02/1977
County
Douglass
Street
145 Chicasaw Lane
City
Austell
State
GA
Zip
30168-
Cell
(678) 683-8744
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
some high 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
No
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
J. Perez
Data Entry
J. Manzo