GUI-LES-74

Code
GUI-LES-74
Mercy ID
V-01837-01
Encounter Date
02/21/2005
Last
Guitrao
First
Lesbi
DOB
02/16/1974
County
Gwinnett
Street
6326 Shesnuth Green Dr.
City
Norcross
State
GA
Zip
30071-
Home
(770) 242-3933
Family Status
Adult coupie-no children
COB
Nicaragua
Gender
Female
Housing
Transitional
Education Level
High school graduate
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
G. Landeros
Data Entry
K. Aleman