Code
OCH-ARG-70
Mercy ID
V-03291-01
Encounter Date
03/03/2010
Last
Ochoa
First
Argentina
DOB
04/19/1970
County
Gwinnett
Street
1516 Devora Road
City
Doraville
State
GA
Zip
30340-
Cell
(770) 936-1811
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
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
G. Landeros
Data Entry
J. Manzo