CRU-MAR-69

Code
CRU-MAR-69
Mercy ID
V-00265-01
Encounter Date
08/21/2000
Last
Cruz vargas
First
Marisol
DOB
06/05/1969
County
Cobb
Street
450 Roswelberg Cir.
City
Marietta
State
GA
Zip
30060-
Home
(770) 792-8871
Family Status
Two parent family w/children
COB
Nicaragua
Gender
Female
Housing
Not Homeless
Education Level
some high 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. Manzo
Data Entry
Y. Garcia