SAN-MIR-67

Code
SAN-MIR-67
Mercy ID
V-02581-01
Encounter Date
08/29/2007
Last
Santos
First
Miriam
DOB
05/26/1967
County
Fulton
Street
145 North Wood Dr. P-11
City
Atlanta
State
GA
Zip
30342-
Cell
(678) 887-0508
Family Status
Single parent w/children
COB
Brazil
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
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