GAR-MAC-78

Code
GAR-MAC-78
Mercy ID
V-02538-03
Encounter Date
04/27/2009
Last
Garcia
First
Marciano
DOB
01/22/1978
County
Dekalb
Street
6800 Peachtree Ind. Blvd. A-4
City
Doraville
State
GA
Zip
30360-
Cell
(404) 667-1264
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
C. Martinez
Data Entry
J. Manzo