ZAR-WEN-73

Code
ZAR-WEN-73
Mercy ID
V-02210-01
Encounter Date
03/06/2006
Last
Zarate
First
Wendy
DOB
09/21/1973
County
Gwinnett
Street
2672 Ansle Way
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 982-0587
Cell
(770) 873-4875
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high 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
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
G. Landeros
Data Entry
R. Gonzalez