URE-ANG-66

Code
URE-ANG-66
Mercy ID
V-00094-01
Encounter Date
02/15/2000
Last
Ureña
First
Angelica
DOB
09/16/1966
County
Fulton
Street
6985 J Roswell Rd.
City
Atlanta
State
GA
Zip
30328-
Home
(770) 396-8291
Family Status
Two parent family w/children
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
Home Owner
YES

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. Perez
Data Entry
Y. Garcia