ADA-JOH-87

Code
ADA-JOH-87
Mercy ID
V-02372-01
Encounter Date
12/29/2006
Last
Adame
First
Johanna
DOB
05/20/1987
County
Fulton
Street
290 Winting River Tr. #-E
City
Sandy springs
State
GA
Zip
30050-
Home
(678) 461-7679
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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