CAR-ANA-72

Code
CAR-ANA-72
Mercy ID
V-01715-01
Encounter Date
09/22/2004
Last
Carreon
First
Ana
DOB
07/03/1972
County
Gwinnett
Street
2893 Beaverly Cove
City
Bufford
State
GA
Zip
30518-
Home
(770) 614-2630
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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