ALE-ERI-77

Code
ALE-ERI-77
Mercy ID
V-02590-01
Encounter Date
09/28/2007
Last
Alegria
First
Ericka
DOB
10/02/1977
County
Clayton
Street
8706 Flint River
City
Jonesboro
State
GA
Zip
30238-
Home
(678) 379-0136
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Not Homeless
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
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
J. Perez
Data Entry
J. Manzo