GAR-MIR-77

Code
GAR-MIR-77
Mercy ID
V-02763-01
Encounter Date
04/22/2008
Last
Garcia
First
Mireya
DOB
02/06/1977
County
Fulton
Street
3040 Road St.
City
East point
State
GA
Zip
30344-
Home
(404) 228-0210
Cell
(678) 789-2779
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
No
Intake
J. Perez
Data Entry
J. Manzo