ROM-GLA-81

Code
ROM-GLA-81
Mercy ID
V-02469-01
Encounter Date
04/13/2007
Last
Romero
First
Glady
DOB
05/09/1981
County
Gwinnett
Street
1714 Leahifh Hill
City
Norcross
State
GA
Zip
30071-
Cell
(404) 783-5009
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Preschool
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
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