MUL-MAR-77

Code
MUL-MAR-77
Mercy ID
V-03359-01
Encounter Date
07/06/2010
Last
Mulliniks
First
Maria elena
DOB
08/22/1977
County
Troup
Street
118-A Commerce St.
City
Hogansville
State
GA
Zip
30230-
Cell
(706) 637-0927
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Preschool
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
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