SOT-MIR-61

Code
SOT-MIR-61
Mercy ID
V-00708-01
Encounter Date
10/12/2001
Last
Soto
First
Miriam
DOB
10/19/1961
County
Gwinnett
Street
2305 Howell Trace
City
Duluth
State
GA
Zip
30096-
Home
(770) 814-9416
Cell
(770) 622-2200
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
some high school
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