APA-MAR-73

Code
APA-MAR-73
Mercy ID
V-01541-01
Encounter Date
03/22/2004
Last
Aparicio
First
Maria guadalupe
DOB
09/28/1973
County
Other
Street
5682 Fairburn Rd. Lot FF9
City
Douglasville
State
GA
Zip
30139-
Home
(770) 947-0179
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school
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