JOA-MAR-85

Code
JOA-MAR-85
Mercy ID
V-02758-01
Encounter Date
04/16/2008
Last
Joaquin
First
Marvella
DOB
12/06/1985
County
Dekalb
Street
3532 Buford Hwy Apt. Apt. 7
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 484-7757
Family Status
Two parent family 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
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