DEL-ADR-72

Code
DEL-ADR-72
Mercy ID
V-00470-01
Encounter Date
04/09/2001
Last
De la cruz
First
Adriana
DOB
03/02/1972
County
Gwinnett
Street
1303 Summer Chase Dr.
City
Duluth
State
GA
Zip
30096-
Home
(770) 495-9679
Family Status
Two parent family w/children
COB
Uruguay
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
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
K. Aleman