AYA-LIN-77

Code
AYA-LIN-77
Mercy ID
V-01004-01
Encounter Date
08/30/2002
Last
Ayala
First
Linda
DOB
01/27/1977
County
Gwinnett
Street
1655 Centerview Dr. 64
City
Duluth
State
GA
Zip
30096-
Home
(770) 416-1239
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
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. Manzo
Data Entry
K. Aleman