CAS-FLO-73

Code
CAS-FLO-73
Mercy ID
V-02968-01
Encounter Date
12/16/2008
Last
Castro
First
Flor
DOB
01/22/1973
County
Cobb
Street
1957 Lake Stre Hight Circle
City
Kennesaw
State
GA
Zip
30152-
Cell
(770) 380-6143
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Post Grad Degree
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
J. Perez
Data Entry
J. Manzo