PAU-TER-82

Code
PAU-TER-82
Mercy ID
V-02314-01
Encounter Date
08/22/2006
Last
Sausedo
First
Teresa
DOB
03/01/1982
County
Other
Street
350 Alberto Coria
City
Morelia
State
MI
Zip
58217-
Home
(770) 529-7065
Cell
(770) 256-8913
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
YES
Relative
No
Stranger
No
NOTES
Telefono de Mexico 011-52-44-332-34-4696
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