GON-ANA-64

Code
GON-ANA-64
Mercy ID
V-00902-01
Encounter Date
04/12/2002
Last
Gonzalez
First
Ana
DOB
11/22/1964
County
Gwinnett
Street
5481 Station Circle
City
Norcross
State
GA
Zip
30071-
Home
(770) 381-6842
Cell
(678) 886-2186
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
Home Owner
No

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
YES
Stranger
No
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****
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