PER-GAB-61

Code
PER-GAB-61
Mercy ID
V-02886-01
Encounter Date
08/29/2008
Last
Perez
First
Gabriela
DOB
03/17/1961
County
Dekalb
Street
1877 Fellowship Road
City
Tucker
State
GA
Zip
30084-
Cell
(678) 683-0080
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Preschool
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
J. Perez
Data Entry
J. Manzo