SAN-JUA-76

Code
SAN-JUA-76
Mercy ID
V-00373-01
Encounter Date
12/29/2000
Last
Sanchez
First
Juana
DOB
03/02/1976
County
Cobb
Street
60 Deway Ln
City
Marietta
State
GA
Zip
30060-
Home
(678) 305-0941
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
J. Manzo
Data Entry
D. Gomez