BRI-ALE-81

Code
BRI-ALE-81
Mercy ID
V-02671-01
Encounter Date
12/20/2007
Last
Brito
First
Maria alejandra
DOB
09/19/1981
County
Dekalb
Street
2761 Jeguar Driva
City
Ellenwood
State
GA
Zip
30294-
Home
(404) 243-3533
Cell
(678) 499-4397
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school
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
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
YES
Intake
G. Landeros
Data Entry
J. Manzo