ALA-RAQ-01

Code
ALA-RAQ-01
Mercy ID
V-00324-01
Encounter Date
10/15/2000
Last
Alarcon
First
Raquel
DOB
10/05/1972
County
Gwinnett
Street
5537 Rails Way
City
Norcross
State
GA
Zip
30071-
Home
(770) 447-5147
Cell
(404) 934-1482
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
S. Aviña