CRU-SON-68

Code
CRU-SON-68
Mercy ID
V-00013-01
Encounter Date
01/04/2000
Last
Cruz
First
Sonia
DOB
08/07/1968
County
Dekalb
Street
3297 hood ave
City
Chamblee
State
GA
Zip
30341-
Home
(770) 936-0781
Family Status
Two parent family w/children
COB
Puerto Rico
Gender
Female
Housing
Not Homeless
Education Level
some high school
Home Owner
YES

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. Manzo
Data Entry
D. Gomez