ESC-GRA-79

Code
ESC-GRA-79
Mercy ID
V-01952-01
Encounter Date
07/05/2005
Last
Escotorin
First
Graciela
DOB
01/03/1979
County
Forsyth
Street
6320 Glenbrooke
City
Cumming
State
GA
Zip
30040-
Home
(770) 844-6218
Family Status
Single parent w/children
COB
Argentina
Gender
Female
Housing
Doubling Up
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
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