MEN-CEC-59

Code
MEN-CEC-59
Mercy ID
V-00239-01
Encounter Date
03/02/2001
Last
Delgado
First
Cecilia
DOB
06/04/1959
County
Fulton
Street
990 Old Holcom Bridge Road
City
Roswell
State
GA
Zip
30076-
Cell
(678) 914-9096
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Some College
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
G. Landeros
Data Entry
S. Aviña