PAD-CLA-73

Code
PAD-CLA-73
Mercy ID
V-01233-01
Encounter Date
05/21/2003
Last
Padilla
First
Claudia
DOB
08/23/1973
County
Gwinnett
Street
3450 Breckynridge Blv. #502
City
Duluth
State
GA
Zip
30093-
Home
(678) 580-0964
Cell
(404) 447-2632
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
K. Aleman