ALM-CLA-69

Code
ALM-CLA-69
Mercy ID
V-02839-01
Encounter Date
07/01/2008
Last
Almazan
First
Claudia
DOB
04/22/1969
County
Dekalb
Street
999 Mexico
City
Mexico
State
MX
Zip
99999-
Home
(442) 218-3292
Cell
(678) 600-3041
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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
Estos telefonos son de Mexico y se marca por delante el 011-52-…
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