URB-GRI-71

Code
URB-GRI-71
Mercy ID
V-00183-01
Encounter Date
04/19/2000
Last
Urbina
First
Griselda
DOB
10/02/1971
County
Gwinnett
Street
3610 Bob Hannah Drive
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 931-6742
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
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. Manzo
Data Entry
K. Aleman