CAM-MAR-53

Code
CAM-MAR-53
Mercy ID
V-01307-01
Encounter Date
08/07/2003
Last
Campo
First
Maria
DOB
08/15/1953
County
Gwinnett
Street
535 Camp Perring Road
City
Lawrenceville
State
GA
Zip
30362-
Cell
(678) 760-8302
Family Status
Adult coupie-no children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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. Manzo
Data Entry
K. Aleman