VAR-MAR-83

Code
VAR-MAR-83
Mercy ID
V-03062-01
Encounter Date
04/29/2009
Last
Vargas
First
Maria lourdes
DOB
02/11/1983
County
Dekalb
Street
2209Briarcliff Rd. Apt. 6
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 447-0384
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
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
YES
Intake
G. Landeros
Data Entry
J. Manzo