DIM-JUA-75

Code
DIM-JUA-75
Mercy ID
V-00085-01
Encounter Date
02/15/2000
Last
Dimas
First
Juana
DOB
03/27/1975
County
Dekalb
Street
1506 Winter Creek Dr.
City
Doraville
State
GA
Zip
30360-
Home
(678) 966-0979
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
Y. Garcia