ALB-IRA-80

Code
ALB-IRA-80
Mercy ID
V-02718-01
Encounter Date
02/19/2008
Last
Alba
First
Irasema
DOB
07/30/1980
County
Gwinnett
Street
4530 Iroquois Trail
City
Duluth
State
GA
Zip
30096-
Cell
(404) 453-0884
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
some high school
Home Owner
YES

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. Perez
Data Entry
J. Manzo