JIM-MAR-81

Code
JIM-MAR-81
Mercy ID
V-00192-01
Encounter Date
04/26/2000
Last
Jimenez
First
Maricela
DOB
08/16/1981
County
Fulton
Street
2430 Moroco Way #-D
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 841-9655
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
YES
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