GAR-LET-73

Code
GAR-LET-73
Mercy ID
V-00968-01
Encounter Date
06/26/2002
Last
Garcia
First
Leticia
DOB
06/02/1973
County
Clayton
Street
2302 Hidden Creek
City
Morrow
State
GA
Zip
00000-0000
Home
(404) 362-5264
Family Status
Adult coupie-no children
COB
Mexico
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. Perez
Data Entry
K. Aleman