PAD-MAR-72

Code
PAD-MAR-72
Mercy ID
V-01761-01
Encounter Date
11/16/2004
Last
Padilla
First
Maria de los santos
DOB
09/07/1972
County
Gwinnett
Street
723 Gwinnette Station Cr.
City
Tucker
State
GA
Zip
30084-
Cell
(770) 882-9002
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

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
3/22/10 entro nuevamente a la linea.
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
G. Landeros
Data Entry
K. Aleman