PER-MIL-73

Code
PER-MIL-73
Mercy ID
V-00698-01
Encounter Date
11/28/2001
Last
Perez
First
Mildred
DOB
11/28/1973
County
Gwinnett
Street
1005 Meadow Woods Commerce
City
Norcross
State
GA
Zip
30071-
Home
(770) 682-9912
Family Status
Single parent w/children
COB
Mexico
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. Manzo
Data Entry
K. Aleman