GUI-MAR-77

Code
GUI-MAR-77
Mercy ID
V-00284-01
Encounter Date
09/11/2000
Last
Guillen
First
Mariela
DOB
10/09/1977
County
Cobb
Street
2001 Old Concord Rd. Apt. 01
City
Smyrna
State
GA
Zip
30080-
Home
(770) 333-0944
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
Y. Garcia