ESQ-MON-72

Code
ESQ-MON-72
Mercy ID
V-00927-01
Encounter Date
05/20/2002
Last
Esquivel
First
Monica
DOB
05/27/1972
County
Gwinnett
Street
512 Trail Lane
City
Lawrenceville
State
GA
Zip
30345-
Cell
(770) 367-1755
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma
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. Perez
Data Entry
K. Aleman