KAZ-CHR-86

Code
KAZ-CHR-86
Mercy ID
V-03123-01
Encounter Date
07/15/2009
Last
Kazantzis
First
Chrianthi
DOB
12/05/1986
County
Gwinnett
Street
4290 Annlette Dr. F
City
Lawrenceville
State
GA
Zip
30044-
Home
(404) 914-7827
Cell
(770) 990-9643
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Robledo
First
Aurelio
DOB
08/07/1983
Address
N/A
Telephone
N/A
COB
Venezuela
Home Owner
YES
Driver
No
Home Owner
YES
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
Alexandra Roblero 03/22/2007 Parents GA/USA
Elizabeth Roblero 06/24/2004 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Mayra