MAR-SOL-80

Code
MAR-SOL-80
Mercy ID
V-02531-01
Encounter Date
06/27/2007
Last
Martinez
First
Soledad
DOB
04/26/1980
County
Dekalb
Street
5210 Dresden Rd.
City
Doraville
State
GA
Zip
30341-
Home
(770) 218-8913
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high 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