ARC-ANA-72

Code
ARC-ANA-72
Mercy ID
V-01429-01
Encounter Date
11/25/2003
Last
Arcos
First
Ana
DOB
10/15/1972
County
Gwinnett
Street
2979 Lake Colony Apt 8
City
Norcross
State
GA
Zip
30071-
Home
(770) 242-0961
Cell
(770) 873-0121
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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. Manzo
Data Entry
K. Aleman