MAN-JUL-77

Code
MAN-JUL-77
Mercy ID
V-03316-01
Encounter Date
05/03/2010
Last
Mancia
First
Julimar
DOB
10/01/1977
County
Cowetta
Street
165 Barrington Branche Dr.
City
Fharepurg
State
GA
Zip
30277-
Cell
(770) 283-7526
Family Status
Single adult
COB
Puerto Rico
Gender
Female
Housing
Single Family
Education Level
College Degree
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo