POR-NOR-73

Code
POR-NOR-73
Mercy ID
V-02321-01
Encounter Date
09/13/2006
Last
Portillo
First
Norma
DOB
10/08/1973
County
Gwinnett
Street
2800 Herrington Wood Court
City
Lawrenceville
State
GA
Zip
30044-
Cell
(770) 896-2784
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
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
J. Manzo