GUI-YUS-76

Code
GUI-YUS-76
Mercy ID
V-02540-01
Encounter Date
07/09/2007
Last
Guillen
First
Yusbel
DOB
07/30/1976
County
Gwinnett
Street
3041 Majecti Park Ct.
City
Duluth
State
GA
Zip
30096-
Cell
(404) 957-8486
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Transitional
Education Level
College Degree
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