JUA-GRA-74

Code
JUA-GRA-74
Mercy ID
V-02666-01
Encounter Date
12/04/2007
Last
Juarez
First
Graciela
DOB
04/24/1974
County
Clayton
Street
812 Doewood High circle
City
Jonesboro
State
GA
Zip
30238-
Home
(404) 372-3489
Cell
(770) 912-6373
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
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