SAL-MAR-04

Code
SAL-MAR-04
Mercy ID
V-01766-01
Encounter Date
11/23/2004
Last
Saldaña
First
Maria
DOB
04/29/1974
County
Dekalb
Street
4282 English Oak Dr. Apt J-3
City
Doraville
State
GA
Zip
30340-
Cell
(770) 256-1152
Family Status
Single parent w/children
COB
Ecuador
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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