KAZ-GLA-57

Code
KAZ-GLA-57
Mercy ID
V-03117-01
Encounter Date
07/13/2009
Last
Kazantzis
First
Gladyz
DOB
07/25/1957
County
Gwinnett
Street
70 Omega Drive
City
Larenceville
State
GA
Zip
30044-
Cell
(678) 360-2376
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Preschool
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
YES
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