ART-ADE-56

Code
ART-ADE-56
Mercy ID
V-00553-01
Encounter Date
06/25/2001
Last
Artiaga
First
Adelisa
DOB
12/25/1956
County
Gwinnett
Street
1120 Forest Village Apt. X-8
City
Norcross
State
GA
Zip
30093-
Home
(678) 472-4191
Family Status
Adult coupie-no children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
K. Aleman