GRA-MAR-71

Code
GRA-MAR-71
Mercy ID
V-03319-01
Encounter Date
05/05/2010
Last
Granados
First
Martha
DOB
02/20/1971
County
Cobb
Street
1895 Main St.
City
Smyrna
State
GA
Zip
30080-
Home
(770) 803-6417
Cell
(404) 234-4733
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school
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