ALV-TER-76

Code
ALV-TER-76
Mercy ID
V-03100-01
Encounter Date
06/23/2009
Last
Alvarez
First
Teresa
DOB
07/22/1976
County
Cobb
Street
1750 Mary Ada Dr.
City
Kennesaw
State
GA
Zip
30144-
Cell
(678) 468-0574
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate
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

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