PIE-MAG-70

Code
PIE-MAG-70
Mercy ID
V-00057-01
Encounter Date
02/04/2000
Last
Piedra
First
Magdalena
DOB
10/02/1970
County
Gwinnett
Street
2595 selman dr
City
Duluth
State
GA
Zip
30096-
Home
(770) 310-6595
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
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
D. Gomez