CAN-GRE-88

Code
CAN-GRE-88
Mercy ID
V-02665-01
Encounter Date
12/04/2007
Last
Canseco
First
Gregoria
DOB
12/10/1988
County
Rockdale
Street
1433 Forestville Ln.
City
Conyers
State
GA
Zip
30012-
Cell
(404) 468-0529
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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