RIO-HAN-71

Code
RIO-HAN-71
Mercy ID
V-03365-01
Encounter Date
07/20/2010
Last
Rios
First
Hanifah
DOB
01/03/1971
County
Dekalb
Street
5044 Donnell Way
City
Decatur
State
GA
Zip
30035-
Cell
(678) 508-3319
Family Status
Two parent family w/children
COB
USA
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
YES
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo