VAR-MAR-57
- Code
- VAR-MAR-57
- Mercy ID
- V-00323-01
- Encounter Date
- 10/24/2000
- Last
- Vargas
- First
- Maria
- DOB
- 06/15/1957
- County
- Fulton
- Street
- 4586 roswell rd a-4
- City
- Atlanta
- State
- GA
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
- Lives With
- N/A
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- J. Manzo
- Data Entry
- S. AviƱa