CRA-ALE-59

Code
CRA-ALE-59
Mercy ID
V-01001-01
Encounter Date
08/30/2002
Last
Crane
First
Alejandrina
DOB
09/25/1959
County
Cobb
Street
2445 Post Village North
City
Smyrna
State
GA
Zip
30080-
Home
(770) 873-3340
Family Status
Adult coupie-no children
COB
Puerto Rico
Gender
Female
Housing
Doubling Up
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