BYR-DAL-75

Code
BYR-DAL-75
Mercy ID
V-03094-01
Encounter Date
06/22/2009
Last
Byrd
First
Dallana
DOB
01/28/1975
County
Douglass
Street
1214 Brentwood
City
Douglassville
State
GA
Zip
30135-
Home
(678) 398-9618
Cell
(404) 375-7722
Family Status
Two parent family w/children
COB
Panamá
Gender
Female
Housing
Doubling Up
Education Level
Grade 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