GON-MAR-69

Code
GON-MAR-69
Mercy ID
V-02284-01
Encounter Date
07/05/2006
Last
Gonzalez
First
Maria magdalena
DOB
07/23/1969
County
Gwinnett
Street
3350 Sweetwater Rd.
City
Lawrenceville
State
GA
Zip
30029-
Home
(770) 935-9566
Cell
(404) 626-6961
Family Status
Single parent 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
J. Manzo