MON-ELV-58

Code
MON-ELV-58
Mercy ID
V-03327-01
Encounter Date
05/17/2010
Last
Montañez
First
Elva
DOB
11/12/1958
County
Gwinnett
Street
2738 The falls
City
Duluth
State
GA
Zip
30096-
Cell
(404) 838-0976
Family Status
Single adult
COB
Perú
Gender
Female
Housing
Single Family
Education Level
College Degree
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
G. Landeros
Data Entry
J. Manzo