SAN-ALB-65

Code
SAN-ALB-65
Mercy ID
V-01045-01
Encounter Date
12/03/2002
Last
Sanchez
First
Alba
DOB
02/08/1965
County
Gwinnett
Street
6259 South Norcross Apt. E7
City
Tucker
State
GA
Zip
30084-
Home
(404) 317-7223
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Not Homeless
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
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. Perez
Data Entry
K. Aleman