PON-MAR-61

Code
PON-MAR-61
Mercy ID
V-00662-01
Encounter Date
08/17/2001
Last
Ponce
First
Martha
DOB
04/05/1961
County
Dekalb
Street
1750 Briarwood Rd. Ne
City
Atlanta
State
GA
Zip
30329-
Home
(404) 634-6084
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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