MIJ-COR-81

Code
MIJ-COR-81
Mercy ID
V-03488-01
Encounter Date
12/21/2010
Last
Mijares
First
Coralina
DOB
06/14/1981
County
Clayton
Street
3384 Mount Zion Rd. Apt. 107
City
Stockbridge
State
GA
Zip
30281-
Cell
(770) 369-1320
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
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

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