RET-FRA-79

Code
RET-FRA-79
Mercy ID
V-03403-01
Encounter Date
08/26/2010
Last
Reyes
First
Francisca
DOB
07/14/1979
County
Gwinnett
Street
5343 Coventry
City
Norcross
State
GA
Zip
30071-
Cell
(404) 838-3294
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo