SAL-ISA-46

Code
SAL-ISA-46
Mercy ID
V-02822-01
Encounter Date
06/17/2008
Last
Saldaña
First
Isabel
DOB
05/06/1946
County
Gwinnett
Street
956 Wallnut Drive
City
Lawrenceville
State
GA
Zip
30044-
Cell
(770) 369-2079
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Child, not in 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
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