ALV-MAG-70

Code
ALV-MAG-70
Mercy ID
V-03165-01
Encounter Date
09/22/2009
Last
Alvarez
First
Margarita
DOB
09/08/1970
County
Cobb
Street
1997 Kimberli Villes Ln. # F
City
Marieta
State
GA
Zip
30067-
Cell
(786) 290-2205
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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