RIO-DOR-70

Code
RIO-DOR-70
Mercy ID
V-03468-01
Encounter Date
10/03/2010
Last
Rios
First
Doris
DOB
07/12/1970
County
Gwinnett
Street
606 Meadowwood Commons
City
Norcross
State
GA
Zip
30071-
Cell
(404) 645-9767
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Single Family
Education Level
Adult, no formal education
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