GAR-WEN-77

Code
GAR-WEN-77
Mercy ID
V-02967-01
Encounter Date
12/11/2008
Last
Garcia
First
Wendy
DOB
05/28/1977
County
Cobb
Street
3723 Wavepree Pass NW
City
Ackworth
State
GA
Zip
30101-
Home
(770) 528-6001
Cell
(678) 500-5118
Family Status
Two parent family w/children
COB
Mexico
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
J. Perez
Data Entry
J. Manzo