DUA-CAT-77

Code
DUA-CAT-77
Mercy ID
V-02965-01
Encounter Date
12/09/2008
Last
Duarte
First
Catalina
DOB
03/20/1977
County
Gwinnett
Street
3212 Sunrise Villages lane Apt. E
City
Norcross
State
GA
Zip
30093-
Cell
(404) 592-7825
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

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. Perez
Data Entry
J. Manzo