PAE-MAR-83

Code
PAE-MAR-83
Mercy ID
V-03015-01
Encounter Date
02/23/2009
Last
Paez
First
Maria de jesus
DOB
12/05/1983
County
Fulton
Street
4372 Edineurgh Way
City
Conley
State
GA
Zip
30288-
Cell
(404) 356-9287
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
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