GAR-IRE-64

Code
GAR-IRE-64
Mercy ID
V-00881-01
Encounter Date
03/27/2002
Last
Garzon
First
Irene
DOB
10/04/1964
County
Dekalb
Street
3534 Old Chamblee Tucker Rd. 6
City
Doraville
State
GA
Zip
30340-
Home
(770) 908-8737
Cell
(678) 524-3935
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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. Manzo
Data Entry
K. Aleman