ORT-MAR-72

Code
ORT-MAR-72
Mercy ID
V-00272-01
Encounter Date
08/28/2000
Last
Ortiz
First
Maria del carmen
DOB
08/25/1972
County
Cobb
Street
1019 Franklin Rd #20-A
City
Marietta
State
GA
Zip
30067-
Home
(770) 424-0973
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
College Degree
Home Owner
YES

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. Manzo
Data Entry
D. Gomez