MEN-SEN-75

Code
MEN-SEN-75
Mercy ID
V-00298-01
Encounter Date
10/03/2000
Last
Mendez
First
Sandy
DOB
02/28/1975
County
Cobb
Street
210 Jonhston Pkwy NW
City
Kennessaw
State
GA
Zip
30152-
Home
(678) 581-1288
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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

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
S. Aviña