FRA-JAN-97
- Code
- FRA-JAN-97
- Mercy ID
- V-00062-11
- Encounter Date
- 08/01/2001
- Last
- Fraire
- First
- Janet
- DOB
- 06/23/1997
- County
- Cobb
- Street
- 271 Grover St.
- City
- Marietta
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Norma Rendon | 06/23/1975 | Mexico |
| Father | Blas Fraire | 02/03/1970 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Mother
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- K. Aleman
- Data Entry
- K. Aleman