Code
GAR-JOH-82
Mercy ID
V-02827-01
Encounter Date
06/17/2008
Last
Garcia
First
Johanna
DOB
01/11/1982
County
Dekalb
Street
999 Briarcliff Rd.
City
No lo dio
State
GA
Zip
30329-
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Single Family
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
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