RUB-ERI-73

Code
RUB-ERI-73
Mercy ID
V-00501-01
Encounter Date
09/04/2002
Last
Rubio
First
Erika
DOB
12/25/1973
County
Dekalb
Street
5370 Bleckley
City
Lithonia
State
GA
Zip
30038-
Home
(404) 918-7016
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
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. Perez
Data Entry
K. Aleman