FRA-EUL-84

Code
FRA-EUL-84
Mercy ID
V-01748-01
Encounter Date
11/09/2004
Last
Francisco jose
First
Eulalia
DOB
08/27/1984
County
Fulton
Street
1309 Regency Woods Dr.
City
Atlanta
State
GA
Zip
30319-
Home
(404) 321-6370
Family Status
Single adult
COB
Guatemala
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
YES
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. Perez
Data Entry
K. Aleman