CAN-MAR-80

Code
CAN-MAR-80
Mercy ID
V-01476-01
Encounter Date
01/20/2004
Last
Cantellano
First
Maria de la luz
DOB
07/14/1980
County
Dekalb
Street
64263 Grogran St.
City
Ackworth
State
GA
Zip
30101-
Home
(404) 438-3424
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Transitional
Education Level
High school graduate
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
J. Manzo
Data Entry
K. Aleman