RAM-ZAM-79

Code
RAM-ZAM-79
Mercy ID
V-01278-01
Encounter Date
07/07/2003
Last
Ramirez
First
Zamilpa
DOB
09/10/1979
County
Fulton
Street
1156 Woodland ave. # 10
City
Atlanta
State
GA
Zip
30324-
Home
(404) 417-9538
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
No
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
G. Landeros
Data Entry
K. Aleman