Code
GUZ-YOM-83
Mercy ID
V-03034-01
Encounter Date
03/25/2009
Last
Guzman
First
Yomaira
DOB
10/14/1983
County
Gwinnett
Street
1134 Seasson Parkway
City
Norcross
State
GA
Zip
30093-
Cell
(678) 353-5179
Family Status
Single parent w/children
COB
Dominican Rep
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. Manzo
Data Entry
J. Manzo