XIO-SON-66

Code
XIO-SON-66
Mercy ID
V-01264-01
Encounter Date
06/24/2003
Last
Xicara
First
Sonia
DOB
12/24/1966
County
Gwinnett
Street
1435 Danbury Dr.
City
Norcross
State
GA
Zip
30093-
Cell
(678) 508-2711
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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