WHI-ANA-83

Code
WHI-ANA-83
Mercy ID
V-02343-01
Encounter Date
10/23/2006
Last
Whitlow
First
Ana patricia
DOB
09/11/1983
County
Fulton
Street
136 Peachtree Rd.
City
Atlanta
State
GA
Zip
30309-
Cell
(678) 754-0469
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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
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
G. Landeros
Data Entry
J. Manzo