Code
CUE-CLA-80
Mercy ID
V-00926-01
Encounter Date
05/15/2002
Last
Cuevas
First
Claudia
DOB
02/10/1980
County
Gwinnett
Street
905 Burn Walk Rd.
City
Lilburn
State
GA
Zip
30047-
Home
(770) 883-3672
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
some high 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