Code
REY-LUI-80
Mercy ID
V-02695-01
Encounter Date
01/16/2008
Last
Reyes
First
Luisa
DOB
08/18/1980
County
Gwinnett
Street
1825 Chamblee Road
City
Norcross
State
GA
Zip
30094-
Cell
(770) 385-4613
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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