TAP-GUA-75

Code
TAP-GUA-75
Mercy ID
V-01670-01
Encounter Date
08/04/2004
Last
Tapia
First
Guadalupe
DOB
05/15/1975
County
Dekalb
Street
1206 Winters Creek Dr.
City
Doraville
State
GA
Zip
30360-
Home
(404) 447-4766
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
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