MIR-MAR-76

Code
MIR-MAR-76
Mercy ID
V-02879-01
Encounter Date
08/21/2008
Last
Miranda
First
Maria
DOB
12/11/1976
County
Fulton
Street
421 Belmont Dr.
City
Alphareta
State
GA
Zip
30022-
Home
(404) 437-2542
Family Status
Single parent w/children
COB
Puerto Rico
Gender
Female
Housing
Single Family
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
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