ABA-JUA-70

Code
ABA-JUA-70
Mercy ID
V-00001-01
Encounter Date
01/14/2000
Last
Aguilar
First
Juanita
DOB
06/24/1970
County
Fulton
Street
1505 chattahoche ave lot #112
City
Atlanta
State
GA
Zip
30318-
Home
(404) 355-2887
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade 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
aka Abarca
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