RAM-MAR-79

Code
RAM-MAR-79
Mercy ID
V-01904-01
Encounter Date
05/06/2005
Last
Ramirez
First
Maria leydi
DOB
02/01/1979
County
Fulton
Street
41355 Northcliff Valley Way
City
Atlanta
State
GA
Zip
30319-
Home
(678) 760-6395
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade 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
YES
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