BAI-XEN-81

Code
BAI-XEN-81
Mercy ID
V-02998-01
Encounter Date
02/06/2009
Last
Baires
First
Xenia
DOB
01/29/1981
County
Gwinnett
Street
1355 Graves Apt. B
City
Norcross
State
GA
Zip
30095-
Cell
(404) 200-8757
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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
YES
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