ACO-CAR-66

Code
ACO-CAR-66
Mercy ID
V-00212-01
Encounter Date
05/17/2000
Last
Acocal
First
Carmen
DOB
06/01/1966
County
Dekalb
Street
6698 Peachtree Industrial Blv. #98-G
City
Doraville
State
GA
Zip
30360-
Home
(678) 966-0844
Family Status
Single parent w/children
COB
Mexico
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
K. Aleman