RAM-GUA-73

Code
RAM-GUA-73
Mercy ID
V-00576-01
Encounter Date
06/25/2001
Last
Ramirez
First
Guadalupe
DOB
01/16/1973
County
Gwinnett
Street
4037 Sugar Cane Lane
City
Duluth
State
GA
Zip
30096-
Home
(770) 351-8137
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school
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. Manzo
Data Entry
K. Aleman