BAE-HAY-63

Code
BAE-HAY-63
Mercy ID
V-01512-01
Encounter Date
03/03/2004
Last
Baez
First
Haydee
DOB
04/28/1966
County
Gwinnett
Street
510 Ambar Dr.
City
Norcross
State
GA
Zip
30071-
Home
(404) 604-4997
Family Status
Single parent 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
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