BAR-SAR-72

Code
BAR-SAR-72
Mercy ID
V-00186-01
Encounter Date
04/25/2000
Last
Barrera
First
Sara
DOB
05/04/1972
County
Cobb
Street
949 sourwood cir
City
Marietta
State
GA
Zip
30060-
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. Manzo
Data Entry
D. Gomez