SIM-MAR-51

Code
SIM-MAR-51
Mercy ID
V-00580-01
Encounter Date
06/27/2001
Last
Simmons
First
Marina
DOB
12/16/1951
County
Cobb
Street
3892 Mulkey Circle
City
Marietta
State
GA
Zip
30008-
Home
(770) 745-8980
Family Status
Single parent w/children
COB
Venezuela
Gender
Female
Housing
Not Homeless
Education Level
Post Grad Degree
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. Manzo
Data Entry
K. Aleman