MAR-MAR-66

Code
MAR-MAR-66
Mercy ID
V-03338-01
Encounter Date
06/14/2010
Last
Martinez
First
Maria
DOB
01/20/1966
County
Cobb
Street
1440 Darhel Road
City
Marietta
State
GA
Zip
30060-
Cell
(404) 401-4161
Family Status
Two parent family w/children
COB
Mexico
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
YES
Relative
No
Stranger
No
NOTES
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
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo