CAN-JUD-78

Code
CAN-JUD-78
Mercy ID
V-01831-01
Encounter Date
02/11/2005
Last
Cano
First
Judith
DOB
06/11/1978
County
Gwinnett
Street
0611 350 Kentshire Place
City
Lawrenceville
State
GA
Zip
30044-
Home
(404) 992-8901
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
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