CER-MAR-74

Code
CER-MAR-74
Mercy ID
V-03376-01
Encounter Date
08/09/2010
Last
Cervantes
First
Maria francisca
DOB
03/21/1974
County
Dekalb
Street
2200 Plaster Rd.
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 563-3433
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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
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

NO 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