GAR-GUA-64

Code
GAR-GUA-64
Mercy ID
V-00478-01
Encounter Date
04/17/2001
Last
Garcia campos
First
Guadalupe
DOB
02/12/1964
County
Fulton
Street
2431 Adina Dr. Apt. 1
City
Atlanta
State
GA
Zip
30324-
Home
(404) 231-1837
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
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. Perez
Data Entry
K. Aleman