AGU-DOR-80

Code
AGU-DOR-80
Mercy ID
V-01222-01
Encounter Date
05/13/2003
Last
Aguirre
First
Dora
DOB
05/09/1980
County
Gwinnett
Street
482 Cowneng St.
City
Lawrenceville
State
GA
Zip
30045-
Home
(404) 434-4217
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school
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
YES
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