SER-SAN-80

Code
SER-SAN-80
Mercy ID
V-02267-01
Encounter Date
06/09/2006
Last
Serrano
First
Sandra
DOB
03/10/1980
County
Dekalb
Street
5023 Buford Hwy
City
Doraville
State
GA
Zip
30340-
Family Status
Single adult
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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