BER-NOR-59

Code
BER-NOR-59
Mercy ID
V-01489-01
Encounter Date
02/18/2004
Last
Berrocales
First
Norma
DOB
02/10/1959
County
Gwinnett
Street
912 Sparrows Ln.
City
Norcross
State
GA
Zip
30093-
Home
(770) 939-2126
Family Status
Single parent w/children
COB
Puerto Rico
Gender
Female
Housing
Not Homeless
Education Level
some high school
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