BAR-MAR-68

Code
BAR-MAR-68
Mercy ID
V-02221-01
Encounter Date
04/12/2006
Last
Barranco
First
Maria
DOB
05/12/1968
County
Cherokee
Street
152 Riverchase
City
Woodstock
State
GA
Zip
30188-
Home
(770) 592-8032
Family Status
Two parent family 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
No
Relative
No
Stranger
No
NOTES
Juan Campos, nephew, lives with them.
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
G. Landeros
Data Entry
R. Gonzalez