DEL-CLA-80

Code
DEL-CLA-80
Mercy ID
V-02493-01
Encounter Date
05/23/2007
Last
De la ossa
First
Claudia
DOB
07/08/1980
County
Gwinnett
Street
3525 Club Dr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(404) 867-7227
Cell
(404) 781-7368
Family Status
Single parent w/children
COB
Colombia
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
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