Code
REY-CEC-86
Mercy ID
V-03108-01
Encounter Date
06/02/2009
Last
Reyes
First
Cecilia
DOB
03/14/1986
County
Gwinnett
Street
999 no la tengo
City
Stone mountain
State
GA
Zip
30087-
Cell
(678) 437-8128
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
Home Owner
YES

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