ZAR-JES-77

Code
ZAR-JES-77
Mercy ID
V-01464-01
Encounter Date
01/14/2004
Last
Zarco
First
Jessica
DOB
03/07/1977
County
Gwinnett
Street
6310 Forest Valley Dr #2
City
Norcross
State
GA
Zip
30093-
Home
(678) 558-6205
Cell
(678) 558-6205
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school
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
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