PUL-MAR-76

Code
PUL-MAR-76
Mercy ID
V-02609-01
Encounter Date
10/03/2007
Last
Pulido
First
Maria sugey
DOB
09/26/1976
County
Dekalb
Street
2949 North Dekalb Dr. #303
City
Doraville
State
GA
Zip
30341-
Cell
(678) 292-3671
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
Home Owner
YES

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