BEL-CAR-75

Code
BEL-CAR-75
Mercy ID
V-00792-01
Encounter Date
01/09/2002
Last
Belk
First
Carolina
DOB
05/04/1975
County
Gwinnett
Street
Don't Know
City
Not given
State
GA
Zip
00000-0000
Home
(404) 668-2855
Family Status
Single parent w/children
COB
Other
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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
K. Aleman