COR-EUN-73

Code
COR-EUN-73
Mercy ID
V-00050-01
Encounter Date
01/26/2000
Last
Cordoba
First
Eunice
DOB
06/17/1973
County
Gwinnett
Street
2661 tree house pk way
City
Norcross
State
GA
Zip
30393-
Home
(678) 937-0684
Cell
(678) 778-9639
Family Status
Single parent w/children
COB
Costa Rica
Gender
Female
Housing
Doubling Up
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
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. Perez
Data Entry
D. Gomez