ALV-SEL-82

Code
ALV-SEL-82
Mercy ID
V-02290-01
Encounter Date
07/25/2006
Last
Alvahuante
First
Selene
DOB
01/29/1982
County
Gwinnett
Street
1470 Boggs Rd. # 503
City
Duluth
State
GA
Zip
30096-
Cell
(678) 755-1354
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
El telefono es de la Mamá
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