FER-ELV-83

Code
FER-ELV-83
Mercy ID
V-02482-01
Encounter Date
05/08/2007
Last
Ferrufino
First
Elvira
DOB
03/28/1983
County
Gwinnett
Street
2509 Porter Dr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(404) 392-8564
Family Status
Single parent w/children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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