CAC-SAY-67

Code
CAC-SAY-67
Mercy ID
V-00848-01
Encounter Date
02/19/2002
Last
Caceres
First
Sayonara
DOB
03/10/1967
County
Gwinnett
Street
1171 Bailing Dr.
City
Lawrenceville
State
GA
Zip
30043-
Home
(404) 483-5247
Family Status
Two parent family w/children
COB
Ecuador
Gender
Female
Housing
Not Homeless
Education Level
Some College
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