SAN-JOS-47

Code
SAN-JOS-47
Mercy ID
V-00611-01
Encounter Date
07/17/2001
Last
Sanchez
First
Josefina
DOB
10/19/1947
County
Gwinnett
Street
2140 Glenn Park Ct.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 277-0836
Family Status
Single parent w/children
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
Grade 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
YES
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
K. Aleman