GUI-WIL-71

Code
GUI-WIL-71
Mercy ID
V-00153-02
Encounter Date
03/28/2000
Last
Guifarro
First
Wilson
DOB
12/19/1971
County
Fulton
Street
2800 Martin luther King Dr C-25
City
Atlanta
State
GA
Zip
30331-
Home
(404) 472-9671
Family Status
Two parent family w/children
COB
Honduras
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Moradel
First
Suyapa
DOB
07/12/1977
Address
same
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
Lesly Atephany 07/26/1999 Brother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
D. Gomez
Referred By
Marha rAtlanta municipal