OSO-MAR-65

Code
OSO-MAR-65
Mercy ID
V-02939-01
Encounter Date
11/10/2008
Last
Osorto
First
Martha
DOB
10/14/1965
County
Dekalb
Street
2791 Shallowford Rd. # D
City
Atlanta
State
GA
Zip
03041-
Cell
(678) 499-1446
Family Status
Single parent w/children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma
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