FLO-MAR-11

Code
FLO-MAR-11
Mercy ID
V-02127-01
Encounter Date
12/12/2005
Last
Flores
First
Maria
DOB
11/08/1970
County
Gwinnett
Street
405 Comseptos #21
City
Norcross
State
GA
Zip
30092-
Home
(678) 334-7408
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
Another women has the code of: FLO-MAR-70. This Maria uses the month of birth.
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
G. Landeros
Data Entry
R. Gonzalez