ALF-GLO-67

Code
ALF-GLO-67
Mercy ID
V-03516-01
Encounter Date
01/31/2011
Last
Alfaro
First
Gloria
DOB
10/14/1967
County
Gwinnett
Street
3400 Sweeetwater Rd. Apt. 716
City
Lawrenceville
State
GA
Zip
30044-
Cell
(678) 508-5825
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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