MAG-ALI-72

Code
MAG-ALI-72
Mercy ID
V-02748-01
Encounter Date
04/01/2008
Last
Maganda
First
Alicia
DOB
06/23/1972
County
Dekalb
Street
3815 Martin Luther King Jr. Apt. B-4
City
Atlanta
State
GA
Zip
30331-
Cell
(404) 447-3960
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
No
Relative
No
Stranger
No
NOTES
Referida a PADV-Fulton/Meghan
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