GUZ-ALB-79

Code
GUZ-ALB-79
Mercy ID
V-03508-01
Encounter Date
02/23/2011
Last
Guzman
First
Alba
DOB
09/27/1979
County
Gwinnett
Street
1363 Wingfoot Way
City
Norcross
State
GA
Zip
30043-
Cell
(404) 934-4866
Family Status
Single adult
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo