BER-GUA-85

Code
BER-GUA-85
Mercy ID
V-01246-01
Encounter Date
06/12/2003
Last
Bernardo
First
Guadalupe
DOB
09/13/1985
County
Dekalb
Street
6750 Peachtree Industrial Blvd.
City
Doraville
State
GA
Zip
30360-
Home
(770) 730-0447
Cell
(770) 409-0285
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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