MEJ-MRY-77

Code
MEJ-MRY-77
Mercy ID
V-03462-01
Encounter Date
10/26/2010
Last
Mejia
First
Maryuri
DOB
01/06/1977
County
Dekalb
Street
2761 Shallowford Rd. #-A
City
Chamblee
State
GA
Zip
30341-
Cell
(770) 885-6938
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Single Family
Education Level
some high school
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

DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo