KIR-ANA-83

Code
KIR-ANA-83
Mercy ID
V-02912-01
Encounter Date
10/14/2008
Last
Kirby
First
Ana
DOB
01/03/2008
County
Gwinnett
Street
4258 Pleasant Lake Village #-F
City
Duluth
State
GA
Zip
30096-
Cell
(404) 437-9718
Family Status
Single parent w/children
COB
USA
Gender
Female Child
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
2009. No A.R. el phone no esta en servicio.
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