GON-GAB-81

Code
GON-GAB-81
Mercy ID
V-03008-01
Encounter Date
02/12/2009
Last
Gonzalez
First
Gabriela
DOB
03/17/1981
County
Gwinnett
Street
5074 Beverly Gleen Apt. B
City
Norcross
State
GA
Zip
30092-
Cell
(678) 880-3018
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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