DEG-AMA-78

Code
DEG-AMA-78
Mercy ID
V-00723-01
Encounter Date
10/26/2001
Last
Degyves
First
Amanda
DOB
08/07/1978
County
Cobb
Street
1400-G Diplomat
City
Kessasaw
State
GA
Zip
N/A
Home
(678) 797-1614
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
No
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