MOR-SUY-77

Code
MOR-SUY-77
Mercy ID
V-00153-01
Encounter Date
03/27/2000
Last
Moradel
First
Suyapa
DOB
07/12/1977
County
Fulton
Street
2800 Martin Luther King Dr c-25
City
Atlanta
State
GA
Zip
30331-
Home
(404) 472-9655
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
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
J. Manzo
Data Entry
D. Gomez