CEP-HOR-73

Code
CEP-HOR-73
Mercy ID
V-01174-01
Encounter Date
03/13/2003
Last
Cepeda
First
Hortencia
DOB
10/21/1973
County
Gwinnett
Street
2800 Harrington Wood Court
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 851-1921
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
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. Perez
Data Entry
K. Aleman