GON-MAI-64

Code
GON-MAI-64
Mercy ID
V-03380-01
Encounter Date
08/02/2010
Last
Gonzalez
First
Maria de los angeles
DOB
11/22/1964
County
Fulton
Street
653 Lindberg Dr.
City
Atlanta
State
GA
Zip
30324-
Cell
(770) 374-7954
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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