MOR-ELI-73

Code
MOR-ELI-73
Mercy ID
V-03289-01
Encounter Date
03/17/2010
Last
Moreno
First
Elisa
DOB
04/01/1973
County
Cobb
Street
604 Ashley Cr.
City
Marietta
State
GA
Zip
30008-
Cell
(770) 733-0506
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma
Home Owner
YES

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