SAN-MAR-15

Code
SAN-MAR-15
Mercy ID
V-02016-01
Encounter Date
09/06/2005
Last
Sanjuan
First
Marcia
DOB
03/15/1966
County
Fulton
Street
1334 Jeferson Dr.
City
Atlanta
State
GA
Zip
30350-
Home
(404) 399-4880
Family Status
Adult coupie-no children
COB
Colombia
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. Perez
Data Entry
R. Gonzalez