DEN-ELI-60

Code
DEN-ELI-60
Mercy ID
V-01921-01
Encounter Date
05/24/2005
Last
Dennies
First
Elizabeth
DOB
05/21/1960
County
Fulton
Street
50 Biscaine Dr.
City
Atlanta
State
GA
Zip
30309-
Home
(404) 351-2384
Cell
(404) 309-0207
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
Some College
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