GAR-MIR-73

Code
GAR-MIR-73
Mercy ID
V-03147-01
Encounter Date
08/20/2009
Last
Garcia
First
Mirna
DOB
08/16/1973
County
Fulton
Street
445 Clevelan Ave. Apt. A-7
City
Atlanta
State
GA
Zip
30354-
Cell
(404) 438-9998
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
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