OSO-ANA-64

Code
OSO-ANA-64
Mercy ID
V-01421-01
Encounter Date
11/19/2003
Last
Osorio
First
Ana
DOB
12/04/1964
County
Gwinnett
Street
3254-B Sunrise Village
City
Norcross
State
GA
Zip
30093-
Home
(770) 256-8026
Family Status
Adult coupie-no children
COB
Colombia
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. Manzo
Data Entry
K. Aleman