DEL-PAT-77

Code
DEL-PAT-77
Mercy ID
V-03023-01
Encounter Date
03/10/2009
Last
De leon
First
Patricia
DOB
02/25/1977
County
Gwinnett
Street
2167 Windsor Drive
City
Snellville
State
GA
Zip
30078-
Cell
(770) 905-0189
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
College 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
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