CAB-MAR-82

Code
CAB-MAR-82
Mercy ID
V-03387-01
Encounter Date
08/17/2010
Last
Caballero
First
Marisela
DOB
01/03/1982
County
Fulton
Street
4002 St. Clair Dr.
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 914-5632
Family Status
Two parent family w/children
COB
Dominican Rep
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
G. Landeros
Data Entry
J. Manzo