GUZ-GLO-72

Code
GUZ-GLO-72
Mercy ID
V-01821-01
Encounter Date
01/28/2005
Last
Guzman
First
Gloria
DOB
08/13/1972
County
Gwinnett
Street
6000 Hunt Club run
City
Norcross
State
GA
Zip
30093-
Home
(770) 734-9280
Cell
(770) 734-9380
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Barrios
First
Hugo
DOB
10/20/1978
Address
N/A
Telephone
N/A
COB
Mexico
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
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Brian Favian Guzman 05/04/2000 Mother w/Stepfather GA/USA
Michael Barrios 09/25/2003 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x1375