PEL-DUL-79

Code
PEL-DUL-79
Mercy ID
V-03537-01
Encounter Date
03/01/2011
Last
Pelaez
First
Dulce
DOB
05/27/1979
County
Fulton
Street
3200 Lenox Road Apt. C-315
City
Atlanta
State
GA
Zip
30324-
Cell
(404) 310-2420
Family Status
Adult couple-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo