CLE-MIZ-84

Code
CLE-MIZ-84
Mercy ID
V-02492-01
Encounter Date
05/10/2007
Last
Cleghorne
First
Mizcell
DOB
11/21/1984
County
Clark
Street
105 Chateau Court Apt. 11
City
Athens
State
GA
Zip
30606-
Cell
(706) 248-8146
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical
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
No
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