Code
REY-IDE-71
Mercy ID
V-00936-01
Encounter Date
05/31/2002
Last
Reyes
First
Idelmis
DOB
09/04/1971
County
Fulton
Street
2632 Blount St.
City
East point
State
GA
Zip
30344-
Home
(404) 762-7199
Family Status
Single parent w/children
COB
Cuba
Gender
Female
Housing
Doubling Up
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. Manzo
Data Entry
K. Aleman