VIV-FLO-83

Code
VIV-FLO-83
Mercy ID
V-02427-01
Encounter Date
03/02/2007
Last
Viva
First
Flor
DOB
05/10/1983
County
Gwinnett
Street
5542 Bishop Cr. #-B
City
Norcross
State
GA
Zip
30093-
Cell
(770) 899-8753
Family Status
Single adult
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

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
G. Landeros
Data Entry
J. Manzo