MAR-HIL-86

Code
MAR-HIL-86
Mercy ID
V-02630-01
Encounter Date
10/23/2007
Last
Martinez
First
Hilda
DOB
12/18/1986
County
Dekalb
Street
3450 Evans Rd. # 103
City
Chamblee
State
GA
Zip
30341-
Home
(770) 493-7999
Cell
(404) 992-5120
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
J. Manzo