MUR-CLA-69

Code
MUR-CLA-69
Mercy ID
V-00290-01
Encounter Date
09/19/2000
Last
Murillo
First
Claudia
DOB
08/23/1969
County
Fulton
Street
502 Wind Ridge Dr.
City
Dunwoody
State
GA
Zip
30350-
Home
(678) 352-1238
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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
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. Manzo
Data Entry
Y. Garcia