GUZ-MAR-71

Code
GUZ-MAR-71
Mercy ID
V-01044-01
Encounter Date
11/27/2002
Last
Guzman
First
Margarita
DOB
03/14/1971
County
Fulton
Street
7103 Colling Wood Ln.
City
Alpharetta
State
GA
Zip
30022-
Home
(770) 475-8669
Cell
(404) 964-4759
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Post Grad Degree

Spouse Information

Last
Estrada
First
Jaime
DOB
06/20/1964
Address
N/A
Telephone
N/A
COB
Colombia
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Aida Alexandra 06/27/1992 Parents GA/USA
Laura Margarita 03/01/1995 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia