CUA-LIN-70

Code
CUA-LIN-70
Mercy ID
V-03013-01
Encounter Date
02/25/2009
Last
Cuadrado
First
Lina
DOB
05/03/1970
County
Gwinnett
Street
2728 Northwood Ln
City
Duluth
State
GA
Zip
30096-
Cell
(678) 598-1546
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
College Degree
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
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

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