DAZ-HAN-75

Code
DAZ-HAN-75
Mercy ID
V-01432-01
Encounter Date
12/01/2003
Last
Daza perez
First
Hangi
DOB
08/08/1975
County
Gwinnett
Street
1827 Club Parkway
City
Norcross
State
GA
Zip
30093-
Home
(770) 873-1273
Family Status
Single parent w/children
COB
Venezuela
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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
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
K. Aleman