POS-ADR-63

Code
POS-ADR-63
Mercy ID
V-01128-01
Encounter Date
02/21/2003
Last
Posada
First
Adriana
DOB
03/24/1963
County
Gwinnett
Street
1400 Herringlon Rd.
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 886-3196
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Transitional
Education Level
High school graduate
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
K. Aleman