SAN-MAR-55

Code
SAN-MAR-55
Mercy ID
V-01714-01
Encounter Date
10/06/2004
Last
Sanchez
First
Martha
DOB
02/14/1955
County
Gwinnett
Street
950 Memory Lane
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 931-2724
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade 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
No
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