MER-CAR-69

Code
MER-CAR-69
Mercy ID
V-03519-01
Encounter Date
01/31/2011
Last
Mercado
First
Carmen
DOB
07/19/1969
County
Gwinnett
Street
5855 Hammond Drive
City
Norcross
State
GA
Zip
30071-
Cell
(678) 508-1380
Family Status
Single parent w/children
COB
Argentina
Gender
Female
Housing
Single Family
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
Norbertoesta deportado
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