SAL-CRE-52

Code
SAL-CRE-52
Mercy ID
V-02310-01
Encounter Date
08/01/2006
Last
Salles geib
First
Creuza
DOB
12/02/1952
County
Other
Street
42 Iron Weend
City
Pueblo
State
GA
Zip
81001-
Home
(719) 543-0330
Family Status
Two parent family w/children
COB
Brazil
Gender
Female
Housing
Not Homeless
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
J. Perez
Data Entry
J. Manzo