SEG-NOR-60

Code
SEG-NOR-60
Mercy ID
V-00318-01
Encounter Date
10/20/2000
Last
Segura
First
Norma
DOB
01/04/1960
County
Rockdale
Street
2195 West High Tower Trail
City
Conyers
State
GA
Zip
30012-
Cell
(678) 349-8063
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Adult, no formal education
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
S. Aviña