ALV-ANG-78

Code
ALV-ANG-78
Mercy ID
V-02589-01
Encounter Date
09/12/2007
Last
Ochoa
First
Angelica
DOB
03/12/1978
County
Cobb
Street
1731 Sams St. # C
City
Marietta
State
GA
Zip
30060-
Cell
(404) 839-6213
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
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