BAH-SOC-67

Code
BAH-SOC-67
Mercy ID
V-02952-01
Encounter Date
12/02/2008
Last
Bahena
First
Socorro
DOB
06/23/1967
County
Fulton
Street
201 Northwood Cr.
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 438-5930
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Preschool
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
G. Landeros
Data Entry
J. Manzo