GON-YOL-62

Code
GON-YOL-62
Mercy ID
V-02884-01
Encounter Date
09/01/2008
Last
Gonzalez
First
Yolanda
DOB
11/25/1965
County
Gwinnett
Street
4775 Saint Bernaerd Drive
City
Liliburn
State
GA
Zip
30047-
Home
(770) 559-4622
Cell
(770) 256-3847
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical
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
YES
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