GRC-DIA-84

Code
GRC-DIA-84
Mercy ID
V-03245-01
Encounter Date
01/27/2010
Last
Garcia
First
Diana
DOB
04/18/1984
County
Clayton
Street
629 Redfox Trail
City
Jonesboro
State
GA
Zip
30238-
Cell
(404) 453-5767
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
******MAMA- Leticia Lopez V-03243-01
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo