ENR-MAR-81

Code
ENR-MAR-81
Mercy ID
V-03539-01
Encounter Date
03/07/2011
Last
Enriquez
First
Maria guadalupe
DOB
07/19/1981
County
Dekalb
Street
2559 Nantoker
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 380-5561
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade 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
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
J. Perez
Data Entry
J. Manzo