CRU-JUA-73

Code
CRU-JUA-73
Mercy ID
V-00688-01
Encounter Date
09/18/2001
Last
Cruz
First
Juana
DOB
07/12/1963
County
Bartow
Street
169 Aztec Way
City
Ackworth
State
GA
Zip
30102-
Home
(770) 975-3243
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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. Manzo
Data Entry
K. Aleman