ALA-CLA-74

Code
ALA-CLA-74
Mercy ID
V-02331-01
Encounter Date
09/19/2006
Last
Mendoza
First
Claudia
DOB
11/14/1974
County
Clayton
Street
4841 Evans Dr.
City
Forest park
State
GA
Zip
30297-
Home
(404) 363-3694
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
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
YES
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
J. Manzo