BAL-MAR-75

Code
BAL-MAR-75
Mercy ID
V-02560-01
Encounter Date
08/01/2007
Last
Balderas
First
Maria irene
DOB
06/13/1975
County
Dekalb
Street
999 no lo dio
City
Lithonia
State
GA
Zip
30058-
Cell
(229) 869-9635
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Shelter
Education Level
H.S. equivalency diploma
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