MAL-GLO-73

Code
MAL-GLO-73
Mercy ID
V-02356-01
Encounter Date
11/15/2006
Last
Maldonado
First
Gloria
DOB
06/21/1973
County
Gwinnett
Street
624 Northwooes Lake # 6
City
Duluth
State
GA
Zip
30096-
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
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
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