SAL-JOS-70

Code
SAL-JOS-70
Mercy ID
V-00985-01
Encounter Date
08/16/2002
Last
Salinas catalan
First
Josefina
DOB
10/09/1970
County
Gwinnett
Street
6836 Graves Mill
City
Norcross
State
GA
Zip
30093-
Home
(770) 337-2325
Cell
(770) 723-9900
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
aka Catalan
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