PER-GUA-71

Code
PER-GUA-71
Mercy ID
V-02766-01
Encounter Date
04/21/2008
Last
Perez
First
Guadalupe i
DOB
12/07/1971
County
Gwinnett
Street
1682 Auden Lane
City
Norcross
State
GA
Zip
30093-
Home
(770) 729-3842
Cell
(404) 285-4455
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
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
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