PLA-MAR-59

Code
PLA-MAR-59
Mercy ID
V-00034-01
Encounter Date
01/05/2000
Last
Plaza
First
Maria edith
DOB
04/20/1959
County
Gwinnett
Street
990 Eagle Pointe Dr
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 378-0293
Family Status
Adult coupie-no children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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
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
D. Gomez