MAR-ANG-84

Code
MAR-ANG-84
Mercy ID
V-02550-01
Encounter Date
07/23/2007
Last
Martines
First
Angelica maria
DOB
12/16/1984
County
Gwinnett
Street
2017 Rockridge Ct. # G-34
City
Norcross
State
GA
Zip
30093-
Home
(678) 598-2073
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Adult, no formal education
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
G. Landeros
Data Entry
J. Manzo