CER-GAB-77

Code
CER-GAB-77
Mercy ID
V-01716-01
Encounter Date
10/05/2004
Last
Cervantes
First
Gabriela
DOB
01/20/1977
County
Gwinnett
Street
3495 Bethesda Park Court
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 924-1209
Cell
(404) 408-1791
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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. Manzo
Data Entry
K. Aleman