MCC-ADR-74

Code
MCC-ADR-74
Mercy ID
V-00156-01
Encounter Date
03/15/2001
Last
Mccurdy
First
Adriana
DOB
06/19/1974
County
Gwinnett
Street
2118 ashey run dr
City
Norcross
State
GA
Zip
30092-
Home
(678) 677-0977
Cell
(770) 822-1534
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College
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
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
J. Manzo
Data Entry
S. Aviña