GAR-BRA-76

Code
GAR-BRA-76
Mercy ID
V-00817-01
Encounter Date
01/29/2002
Last
Garcia
First
Brandy
DOB
05/22/1976
County
Gwinnett
Street
3215 Arden Way
City
Snellville
State
GA
Zip
30039-
Home
(770) 978-9078
Cell
(770) 985-6930
Family Status
Single parent w/children
COB
USA
Gender
Female
Housing
Doubling Up
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
No
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