CUA-DIA-64

Code
CUA-DIA-64
Mercy ID
V-00941-01
Encounter Date
06/06/2002
Last
Cuadrado
First
Diana
DOB
08/06/1964
County
Gwinnett
Street
3550Pleasant Hill Road Apt. 415
City
Duluth
State
GA
Zip
30096-
Cell
(678) 873-8606
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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. Perez
Data Entry
K. Aleman