PEÑ-ANA-73

Code
PEÑ-ANA-73
Mercy ID
V-02814-01
Encounter Date
06/06/2008
Last
Peña
First
Anayda
DOB
07/02/1973
County
Fulton
Street
Shelter
City
Atlanta
State
GA
Zip
30312-
Family Status
Single adult
COB
Puerto Rico
Gender
Female
Housing
Shelter
Education Level
Child, not in 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
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
G. Landeros
Data Entry
J. Manzo