GUE-IOL-69

Code
GUE-IOL-69
Mercy ID
V-03409-01
Encounter Date
08/31/2010
Last
Guerra
First
Iolen
DOB
01/08/1969
County
Cherokee
Street
3223 Hearthstone Landing Blg. 3000
City
Canton
State
GA
Zip
30114-
Cell
(404) 663-8502
Family Status
Single parent w/children
COB
Brazil
Gender
Female
Housing
Shelter
Education Level
Some College
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