ARI-ASU-69

Code
ARI-ASU-69
Mercy ID
V-01739-01
Encounter Date
10/27/2004
Last
Arismendis
First
Asuncion
DOB
08/15/1969
County
Gwinnett
Street
5514 Stanford Village Lane Bld 28
City
Norcross
State
GA
Zip
30071-
Home
(770) 446-7131
Family Status
Single parent 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. Manzo
Data Entry
K. Aleman