ARZ-MAR-79

Code
ARZ-MAR-79
Mercy ID
V-02559-01
Encounter Date
08/15/2007
Last
Arzate
First
Maria guadalupe
DOB
01/25/1979
County
Fulton
Street
56 Pld Holcombridge
City
Roswell
State
GA
Zip
30076-
Home
(770) 518-6117
Cell
(404) 775-7969
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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