ANG-ADR-61

Code
ANG-ADR-61
Mercy ID
V-00099-01
Encounter Date
01/19/2000
Last
Angle
First
Adriana
DOB
05/02/1961
County
Fulton
Street
3546 Kinsboro Rd.
City
Atlanta
State
GA
Zip
30319-
Home
(404) 841-9785
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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. Manzo
Data Entry
K. Aleman