GON-MAI-69

Code
GON-MAI-69
Mercy ID
V-02488-01
Encounter Date
05/15/2007
Last
Gonzalez
First
Maria
DOB
03/15/1969
County
Fulton
Street
1717 Centravilla Dr.
City
Atlanta
State
GA
Zip
30311-
Home
(678) 886-2942
Family Status
Adult couple-no children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Preschool
Home Owner
YES

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
J. Perez
Data Entry
J. Manzo