ELO-MAR-84

Code
ELO-MAR-84
Mercy ID
V-02146-01
Encounter Date
01/10/2006
Last
Elorza
First
Marina araceli
DOB
08/01/1984
County
Gwinnett
Street
425 Hunter Club Lane
City
Norcross
State
GA
Zip
30093-
Home
(770) 676-9317
Cell
(404) 391-9850
Family Status
Two parent family 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
G. Landeros
Data Entry
R. Gonzalez