CAS-MAR-62

Code
CAS-MAR-62
Mercy ID
V-00010-01
Encounter Date
01/11/2000
Last
Castillo
First
Mary
DOB
06/15/1962
County
Dekalb
Street
3707 shallowford rd apt-d
City
Doraville
State
GA
Zip
30340-
Home
(770) 454-6396
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
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
D. Gomez