POR-MAR-60

Code
POR-MAR-60
Mercy ID
V-00861-01
Encounter Date
03/05/2002
Last
Porra
First
Marta
DOB
06/14/1960
County
Gwinnett
Street
2500 Pleseant Hill Rd. Apt. 1018
City
Duluth
State
GA
Zip
30069-
Home
(678) 475-0250
Cell
(678) 584-9889
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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