MEN-CRI-87

Code
MEN-CRI-87
Mercy ID
V-02574-01
Encounter Date
08/21/2007
Last
Mendoza
First
Cristina
DOB
08/21/1987
County
Fulton
Street
3145 East Point St.
City
East point
State
GA
Zip
30344-
Cell
(404) 683-4029
Family Status
Adult couple-no children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
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
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo