SAN-GUA-80

Code
SAN-GUA-80
Mercy ID
V-02159-01
Encounter Date
02/07/2006
Last
Sanchez
First
Guadalupe
DOB
02/12/1980
County
Fulton
Street
4689 Roswell Rd NE Apt J5
City
Atlanta
State
GA
Zip
30342-
Cell
(678) 760-6470
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
J. Perez
Data Entry
R. Gonzalez