CAS-JUA-49

Code
CAS-JUA-49
Mercy ID
V-02917-01
Encounter Date
10/15/2008
Last
Castillo
First
Juana
DOB
03/30/1949
County
Gwinnett
Street
941 Garden Oak Cr.
City
Larenceville
State
GA
Zip
30043-
Cell
(770) 298-3301
Family Status
Adult couple-no children
COB
Perú
Gender
Female
Housing
Single Family
Education Level
Some College
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