CAL-ALE-71

Code
CAL-ALE-71
Mercy ID
V-02367-01
Encounter Date
12/05/2006
Last
Calzada
First
Alendrina
DOB
01/09/1971
County
Cobb
Street
4616 Elam Church Rd.
City
Clayton
State
GA
Zip
30297-
Family Status
Single adult
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
some high school
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
G. Landeros
Data Entry
J. Manzo