FLO-JAN-80

Code
FLO-JAN-80
Mercy ID
V-01178-01
Encounter Date
03/31/2003
Last
Flores
First
Janeth
DOB
10/13/1980
County
Dekalb
Street
1451 Cheshure Way
City
Atlanta
State
GA
Zip
30319-
Home
(404) 869-2815
Family Status
Two parent family w/children
COB
Mexico
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