CAB-DIN-77

Code
CAB-DIN-77
Mercy ID
V-01645-01
Encounter Date
06/29/2004
Last
Caballero
First
Dinia
DOB
10/16/1977
County
Gwinnett
Street
1711 Sundale Dr.
City
Lawrenceville
State
GA
Zip
30045-
Home
(770) 418-1197
Cell
(678) 799-1197
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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