MAG-MAR-76

Code
MAG-MAR-76
Mercy ID
V-03112-01
Encounter Date
07/01/2009
Last
Barrientos
First
Maria
DOB
02/21/1976
County
Rockdale
Street
952 Northridge Dr.
City
Coneyrs
State
GA
Zip
30012-
Cell
(678) 997-5482
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
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
YES
Intake
J. Perez
Data Entry
J. Manzo