BOL-KAR-80

Code
BOL-KAR-80
Mercy ID
V-00447-01
Encounter Date
03/13/2001
Last
Bolio lara
First
Karina
DOB
09/30/1980
County
Dekalb
Street
2418 Johnson Rd. Apt. C
City
Atlanta
State
GA
Zip
30345-
Home
(770) 242-6097
Family Status
Adult coupie-no 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
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
K. Aleman