BAI-ANA-78

Code
BAI-ANA-78
Mercy ID
V-02986-01
Encounter Date
01/16/2009
Last
Baird
First
Ana
DOB
02/09/1978
County
Fulton
Street
3181 Lynwood Dr.
City
Atlanta
State
GA
Zip
30319-
Cell
(404) 438-5208
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
College Degree
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
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