CUT-MAB-53

Code
CUT-MAB-53
Mercy ID
V-02713-01
Encounter Date
02/15/2008
Last
Cutiño
First
Mabel
DOB
02/12/1953
County
Dekalb
Street
4426
City
Doraville
State
GA
Zip
30360-
Home
(770) 326-9921
Cell
(678) 270-0459
Family Status
Adult couple-no children
COB
Cuba
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