MEJ-REY-66

Code
MEJ-REY-66
Mercy ID
V-03408-01
Encounter Date
09/01/2010
Last
Mejia
First
Reyna
DOB
05/21/1966
County
Fulton
Street
6770 Burhead Dr.
City
Union city
State
GA
Zip
30291-
Cell
(404) 453-3580
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Adult, no formal education
Home Owner
YES

Parents Information

Name DOB COB
Mother N/A N/A Mexico
Father N/A N/A Mexico
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
J. Perez
Data Entry
J. Manzo