XOC-MEL-72

Code
XOC-MEL-72
Mercy ID
V-00335-01
Encounter Date
11/08/2000
Last
Xochihua
First
Melba
DOB
02/18/1972
County
Fulton
Street
6941 roswell rd apt-e
City
Atlanta
State
GA
Zip
30328-
Home
(770) 350-6224
Family Status
Two parent family w/children
COB
Nicaragua
Gender
Female
Housing
Doubling Up
Education Level
some high school
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. Perez
Data Entry
S. Aviña