BAR-MAR-61

Code
BAR-MAR-61
Mercy ID
V-02156-01
Encounter Date
01/30/2006
Last
Barrera
First
Martha
DOB
02/05/1961
County
Gwinnett
Street
2936 Ben Arron Dr
City
Dacula
State
GA
Zip
30019-
Cell
(678) 357-6114
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
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
R. Gonzalez