CAS-JUA-76

Code
CAS-JUA-76
Mercy ID
V-02530-01
Encounter Date
06/27/2007
Last
Castañeda
First
Juana
DOB
10/12/1976
County
Fulton
Street
6537 Roswell Rd. # A-2
City
Atlanta
State
GA
Zip
30328-
Cell
(404) 458-4315
Family Status
Single parent w/children
COB
Nicaragua
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
G. Landeros
Data Entry
J. Manzo