GAR-LAU-70

Code
GAR-LAU-70
Mercy ID
V-02263-01
Encounter Date
06/02/2006
Last
Garcia
First
Claudia
DOB
08/07/1970
County
Fulton
Street
13203 Summerwood Lane
City
Alpharetta
State
GA
Zip
30005-
Home
(678) 624-1236
Cell
(404) 455-3532
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Other
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
R. Gonzalez