ALV-MAR-69

Code
ALV-MAR-69
Mercy ID
V-01620-01
Encounter Date
06/08/2004
Last
Alvarez
First
Maria socorro
DOB
07/18/1969
County
Dekalb
Street
237 Meadow Lane
City
Conyers
State
GA
Zip
30012-
Home
(770) 761-0214
Cell
(678) 463-9982
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