MOR-EST-72

Code
MOR-EST-72
Mercy ID
V-01255-01
Encounter Date
06/16/2003
Last
Moreno
First
Ester
DOB
03/13/1972
County
Gwinnett
Street
3518 Grovere Crest
City
Duluth
State
GA
Zip
30096-
Home
(770) 814-0670
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
YES
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