QUI-MAR-59

Code
QUI-MAR-59
Mercy ID
V-00215-01
Encounter Date
05/11/2000
Last
Quinteros
First
Maria
DOB
04/09/1959
County
Fulton
Street
580 Apt-A Burroughts
City
Atlanta
State
GA
Zip
30315-
Home
(404) 635-1197
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school
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
D. Gomez