QUI-MAR-63

Code
QUI-MAR-63
Mercy ID
V-03261-01
Encounter Date
02/12/2010
Last
Quiroz
First
Maria noelia
DOB
10/10/1963
County
Gwinnett
Street
999 no la quiso dar
City
Norcross
State
GA
Zip
99999-
Cell
(914) 882-9390
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Some College
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
G. Landeros
Data Entry
J. Manzo