ORO-JUA-72

Code
ORO-JUA-72
Mercy ID
V-02800-01
Encounter Date
05/27/2008
Last
Orosco
First
Juana
DOB
03/30/1972
County
Cobb
Street
1204 Sedgefield Dr
City
Marietta
State
GA
Zip
30062-
Home
(678) 290-0268
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade 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
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
G. Landeros
Data Entry
J. Manzo