SAN-DOL-77

Code
SAN-DOL-77
Mercy ID
V-03470-01
Encounter Date
10/26/2010
Last
Santos
First
Dolores
DOB
07/28/1977
County
Gwinnett
Street
3355 Sweetwater Rd. Apt. 8108
City
Lawrenceville
State
GA
Zip
30044-
Cell
(678) 663-4843
Family Status
Single parent w/children
COB
Dominican Rep
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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

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