CRI-SSA-87

Code
CRI-SSA-87
Mercy ID
V-02608-01
Encounter Date
10/02/2007
Last
Crisantos
First
Susana
DOB
08/11/1987
County
Fulton
Street
2621 Oakshadow Ct. #C
City
Atlanta
State
GA
Zip
30345-
Cell
(678) 927-6624
Family Status
Single adult
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