ART-GLO-66

Code
ART-GLO-66
Mercy ID
V-01063-01
Encounter Date
12/24/2002
Last
Artiaga
First
Gloria
DOB
02/11/1966
County
Gwinnett
Street
205 Club Place
City
Duluth
State
GA
Zip
30096-
Home
(678) 584-9283
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
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
J. Manzo