ARE-ERI-79

Code
ARE-ERI-79
Mercy ID
V-00667-01
Encounter Date
08/29/2001
Last
Arevalo
First
Erika
DOB
09/05/1979
County
Dekalb
Street
4143 Ashford-Dunwoody Rd.
City
Atlanta
State
GA
Zip
30319-
Home
(770) 458-6358
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
some high 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
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