ESC-MAR-53

Code
ESC-MAR-53
Mercy ID
V-01138-01
Encounter Date
02/25/2003
Last
Escalante
First
Maricela
DOB
09/16/1953
County
Fulton
Street
4616 Roswell Rd. NE Apt. MM2
City
Atlanta
State
GA
Zip
30342-
Home
(404) 843-1754
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College
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