ALV-XIO-86

Code
ALV-XIO-86
Mercy ID
V-03282-01
Encounter Date
03/19/2010
Last
Alvarez
First
Xiomara
DOB
09/02/1986
County
Fulton
Street
200 Denna Dr.
City
Alpharetta
State
GA
Zip
30009-
Cell
(678) 319-0051
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
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
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