EST-MIR-66

Code
EST-MIR-66
Mercy ID
V-03146-01
Encounter Date
08/25/2009
Last
Estrada
First
Mirtha
DOB
01/05/1966
County
Dekalb
Street
2931 North Dekalb Dr. Apt. 104
City
Atlanta
State
GA
Zip
30340-
Cell
(404) 749-6517
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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. Perez
Data Entry
J. Manzo