THO-ALI-74

Code
THO-ALI-74
Mercy ID
V-02612-01
Encounter Date
10/08/2007
Last
Thomas
First
Alicia
DOB
01/31/1974
County
Forsyth
Street
1585 Independent Cr. Trail
City
Cumming
State
GA
Zip
30040-
Home
(770) 844-8398
Cell
(770) 378-8968
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
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