ECH-CLA-73

Code
ECH-CLA-73
Mercy ID
V-00808-01
Encounter Date
01/23/2002
Last
Echavarri
First
Claudia
DOB
08/24/1973
County
Gwinnett
Street
4525 Otha Way
City
Lilburn
State
GA
Zip
30047-
Home
(770) 923-2294
Cell
(678) 559-7579
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical
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