CAS-JAC-75

Code
CAS-JAC-75
Mercy ID
V-02390-01
Encounter Date
01/09/2007
Last
Castro
First
Jacqueline
DOB
06/15/1975
County
Gwinnett
Street
1893 Guardian Way
City
Lawrenceville
State
GA
Zip
30043-
Cell
(678) 508-6291
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Transitional
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
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