ROB-GUA-57

Code
ROB-GUA-57
Mercy ID
V-00824-01
Encounter Date
01/29/2002
Last
Robles
First
Guadalupe
DOB
02/14/1957
County
Dekalb
Street
1403 North Cliff Valley Way
City
Atlanta
State
GA
Zip
30319-
Home
(404) 728-1912
Family Status
Single parent w/children
COB
Mexico
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
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