BUN-JEN-72

Code
BUN-JEN-72
Mercy ID
V-01655-01
Encounter Date
07/09/2004
Last
Bun
First
Jennifer
DOB
10/14/1972
County
Gwinnett
Street
1714 Summer Ridge Lane
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 232-1064
Cell
(678) 698-9607
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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. Manzo
Data Entry
K. Aleman