AYA-ALM-81

Code
AYA-ALM-81
Mercy ID
V-00231-01
Encounter Date
06/06/2000
Last
Ayala
First
Alma
DOB
03/20/1981
County
Fulton
Street
2424 adina dr apt c
City
Atlanta
State
GA
Zip
30324-
Home
(404) 848-9166
Family Status
Single parent w/children
COB
Mexico
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. Manzo
Data Entry
S. Aviña