DUE-ISE-88

Code
DUE-ISE-88
Mercy ID
V-02852-01
Encounter Date
07/15/2008
Last
Dueñas
First
Isela
DOB
05/27/1988
County
Clayton
Street
6496 Mill Court
City
Morrow
State
GA
Zip
30260-
Cell
(404) 661-8918
Family Status
Adult couple-no children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate
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
G. Landeros
Data Entry
J. Manzo