AGU-GLE-75

Code
AGU-GLE-75
Mercy ID
V-00734-01
Encounter Date
11/02/2001
Last
Aguilar
First
Glenda
DOB
12/09/1975
County
Other
Street
2277 Plaster Rd. Apt. 3
City
Atlanta
State
GA
Zip
30345-
Home
(404) 471-1312
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
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
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. Perez
Data Entry
K. Aleman